Robotic surgery reduces the consumption of medical consumables: cost analysis of robotic pancreatic surgery from a tertiary hospital in China.

IF 2.2 3区 医学 Q2 SURGERY Journal of Robotic Surgery Pub Date : 2024-08-12 DOI:10.1007/s11701-024-02075-6
Rui Hou, Qiang Xu, Xiaokun Liu, Jingya Zhou, Weiguo Zhu, Weibin Wang
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Abstract

Robotic surgery has been increasingly adopted in various surgical fields, but the cost-effectiveness of this technology remains controversial due to its high cost and limited improvements in clinical outcomes. This study aims to explore the health economic implications of robotic pancreatic surgery, to investigate its impact on hospitalization costs and consumption of various medical resources. Data of patients who underwent pancreatic surgery at our institution were collected and divided into robotic and traditional groups. Statistical analyses of hospitalization costs, length of stay, costs across different service categories, and subgroup cost analyses based on age, BMI class, and procedure received were performed using t tests and linear regression. Although the total hospitalization cost for the robotic group was significantly higher than that for the traditional group, there was a notable reduction in the cost of medical consumables. The reduction was more prominent among elderly patients, obese patients, and those undergoing pancreaticoduodenectomy, which could be attributed to the technological advantages of the robotic surgery platform that largely facilitate blood control, tissue protection, and suturing. The study concluded that despite higher overall costs, robotic pancreatic surgery offers significant savings in medical consumables, particularly benefiting certain patient subgroups. The findings provide valuable insights into the economic viability of robotic surgery, supporting its adoption from a health economics perspective.

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机器人手术减少了医疗耗材的消耗:中国一家三级医院机器人胰腺手术的成本分析。
机器人手术已越来越多地应用于各个外科领域,但由于其成本高昂且临床效果改善有限,因此该技术的成本效益仍存在争议。本研究旨在探讨机器人胰腺手术的卫生经济学意义,研究其对住院费用和各种医疗资源消耗的影响。研究收集了在我院接受胰腺手术的患者数据,并将其分为机器人组和传统组。采用t检验和线性回归对住院费用、住院时间、不同服务类别的费用进行了统计分析,并根据年龄、BMI等级和接受的手术进行了亚组费用分析。虽然机器人组的住院总费用明显高于传统组,但医用耗材的费用明显减少。老年患者、肥胖患者和接受胰十二指肠切除术的患者的费用降低更为明显,这可能归因于机器人手术平台的技术优势,它在很大程度上有利于血液控制、组织保护和缝合。研究得出结论,尽管总体成本较高,但机器人胰腺手术可节省大量医疗耗材,尤其是对某些患者亚群而言。研究结果为机器人手术的经济可行性提供了宝贵的见解,从卫生经济学的角度支持了机器人手术的应用。
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来源期刊
CiteScore
4.20
自引率
8.70%
发文量
145
期刊介绍: The aim of the Journal of Robotic Surgery is to become the leading worldwide journal for publication of articles related to robotic surgery, encompassing surgical simulation and integrated imaging techniques. The journal provides a centralized, focused resource for physicians wishing to publish their experience or those wishing to avail themselves of the most up-to-date findings.The journal reports on advance in a wide range of surgical specialties including adult and pediatric urology, general surgery, cardiac surgery, gynecology, ENT, orthopedics and neurosurgery.The use of robotics in surgery is broad-based and will undoubtedly expand over the next decade as new technical innovations and techniques increase the applicability of its use. The journal intends to capture this trend as it develops.
期刊最新文献
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