Robot-assisted pancreatoduodenectomy with the da Vinci Xi: can the costs of advanced technology be offset by clinical advantages? A case-matched cost analysis versus open approach
| العنوان: | Robot-assisted pancreatoduodenectomy with the da Vinci Xi: can the costs of advanced technology be offset by clinical advantages? A case-matched cost analysis versus open approach |
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| المؤلفون: | Valentina Lorenzoni, Luca Pollina, Niccolò Furbetta, Gregorio Di Franco, Matteo Bianchini, Franca Melfi, Desirée Gianardi, Luca Morelli, Giuseppe Turchetti, Giulio Di Candio, Simone Guadagni, Carlo Milli, Domenica Mamone, Matteo Palmeri |
| المصدر: | Surgical Endoscopy. 36:4417-4428 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Robotic pancreatoduodenectomy, medicine.medical_specialty, business.industry, General surgery, Robotics, Open pancreatoduodenectomy, Perioperative, Costs’ analysis, Variable cost, Pancreaticoduodenectomy, Indirect costs, Postoperative Complications, Robotic systems, Robotic Surgical Procedures, Cost analysis, Humans, Operative time, Medicine, Surgery, Hospital Costs, Fixed cost, business, Retrospective Studies, Abdominal surgery |
| الوصف: | Robot-assisted pancreatoduodenectomy (RPD) has shown some advantages over open pancreatoduodenectomy (OPD) but few studies have reported a cost analysis between the two techniques. We conducted a structured cost-analysis comparing pancreatoduodenectomy performed with the use of the da Vinci Xi, and the traditional open approach, and considering healthcare direct costs associated with the intervention and the short-term post-operative course. Twenty RPD and 194 OPD performed between January 2011 and December 2020 by the same operator at our high-volume multidisciplinary center for robot-assisted surgery and for pancreatic surgery, were retrospectively analyzed. Two comparable groups of 20 patients (Xi-RPD-group) and 40 patients (OPD-group) were obtained matching 1:2 the RPD-group with the OPD-group. Perioperative data and overall costs, including overall variable costs (OVCs) and fixed costs, were compared. No difference was reported in mean operative time: 428 min for Xi-RPD-group versus 404 min for OPD, p = 0.212. The median overall length of hospital stay was significantly lower in the Xi-RPD-group: 10 days versus 16 days, p = 0.001. In the Xi-RPD-group, consumable costs were significantly higher (€6149.2 versus €1267.4, p |
| تدمد: | 1432-2218 0930-2794 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::15373f312f20544d04fad6c012b14705 https://doi.org/10.1007/s00464-021-08793-4 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....15373f312f20544d04fad6c012b14705 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14322218 09302794 |
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