Optimizing outcomes in colorectal surgery: cost and clinical analysis of robotic versus laparoscopic approaches to colon resection
The use of robotics in colorectal surgery has been steadily increasing, however, reported longer operative times and increased cost has limited its widespread adoption. We investigated the cost of elective colorectal surgery based on type of anatomic resection and the impact of a standardized protoc...
Gespeichert in:
| Veröffentlicht in: | Journal of robotic surgery 2022-02, Vol.16 (1), p.107-112 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 112 |
|---|---|
| container_issue | 1 |
| container_start_page | 107 |
| container_title | Journal of robotic surgery |
| container_volume | 16 |
| creator | Hancock, Kevin J. Klimberg, V. Suzanne Nunez-Lopez, Omar Gajjar, Aakash H. Gomez, Guillermo Tyler, Douglas S. Rashidi, Laila |
| description | The use of robotics in colorectal surgery has been steadily increasing, however, reported longer operative times and increased cost has limited its widespread adoption. We investigated the cost of elective colorectal surgery based on type of anatomic resection and the impact of a standardized protocol for robotic colectomies. A retrospective review was conducted of 279 elective colectomies at a single institution between 2013 and 2017. Clinical outcomes and detailed cost data were compared based on open, laparoscopic, or robotic surgical approach and stratified by anatomic resection. Robotic, laparoscopic and open colectomy rates were 35, 34 and 31%, respectively. While total costs were similar in robotic and laparoscopic surgery, anatomic resection stratification showed that low anterior resection (LAR) was significantly cheaper ($14,093 vs $17,314). When a standardized surgical protocol was implemented for robotic colectomies, significant reductions in operative times, length of stay, total cost, and operative cost were observed. Robotic surgery may be most cost effective for elective LAR compared to laparoscopic or open approaches. A standardized surgical protocol for robotic surgery may help reduce costs by reducing operative times, operating rooms expenditure, and lengths of stay. |
| doi_str_mv | 10.1007/s11701-021-01205-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8384955</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2918716105</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-27fb9baa40a58d747492bfe73d0c56656c4a36f51d61d8306f46d07713d908b03</originalsourceid><addsrcrecordid>eNp9kctu1DAUhi0EomXgBVggS2zYBOz4GhZIVdUCUqVuYG05jjN1ldjBx6k0LHlyPJ0yXBYsLFvn_P7O5UfoJSVvKSHqHVCqCG1IWw9tiWj0I3RKtWRNyzv6-PjW7AQ9A7glRCjB6FN0wphknAlxin5cLyXM4XuIW5zW4tLsAYeIXZpS9q7YCcOatz7v3tcYFGzjgN0UYnA1ZaOddhAApxHn1KcSHL7zGVbAk11sTuDSUmN2WXKy7qayS7pnR5w9VH5I8Tl6MtoJ_IuHe4O-Xl58Of_UXF1__Hx-dtU4rnhpWjX2XW8tJ1boQdVY1_ajV2wgTkgppOOWyVHQQdJBMyJHLgeiFGVDR3RP2AZ9OHCXtZ_94Hws2U5myWG2eWeSDebvTAw3ZpvujGaad0JUwJsHQE7fVg_FzAGcnyYbfVrB1K1zRphq97Ve_yO9TWuu26qqjmpFJSV7YHtQubopyH48NkOJ2VtsDhabarG5t7j2skGv_hzj-OWXp1XADgKoqVit-137P9if7eq0zg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2918716105</pqid></control><display><type>article</type><title>Optimizing outcomes in colorectal surgery: cost and clinical analysis of robotic versus laparoscopic approaches to colon resection</title><source>MEDLINE</source><source>ProQuest Central (Alumni Edition)</source><source>ProQuest Central UK/Ireland</source><source>SpringerLink Journals - AutoHoldings</source><source>ProQuest Central</source><creator>Hancock, Kevin J. ; Klimberg, V. Suzanne ; Nunez-Lopez, Omar ; Gajjar, Aakash H. ; Gomez, Guillermo ; Tyler, Douglas S. ; Rashidi, Laila</creator><creatorcontrib>Hancock, Kevin J. ; Klimberg, V. Suzanne ; Nunez-Lopez, Omar ; Gajjar, Aakash H. ; Gomez, Guillermo ; Tyler, Douglas S. ; Rashidi, Laila</creatorcontrib><description>The use of robotics in colorectal surgery has been steadily increasing, however, reported longer operative times and increased cost has limited its widespread adoption. We investigated the cost of elective colorectal surgery based on type of anatomic resection and the impact of a standardized protocol for robotic colectomies. A retrospective review was conducted of 279 elective colectomies at a single institution between 2013 and 2017. Clinical outcomes and detailed cost data were compared based on open, laparoscopic, or robotic surgical approach and stratified by anatomic resection. Robotic, laparoscopic and open colectomy rates were 35, 34 and 31%, respectively. While total costs were similar in robotic and laparoscopic surgery, anatomic resection stratification showed that low anterior resection (LAR) was significantly cheaper ($14,093 vs $17,314). When a standardized surgical protocol was implemented for robotic colectomies, significant reductions in operative times, length of stay, total cost, and operative cost were observed. Robotic surgery may be most cost effective for elective LAR compared to laparoscopic or open approaches. A standardized surgical protocol for robotic surgery may help reduce costs by reducing operative times, operating rooms expenditure, and lengths of stay.</description><identifier>ISSN: 1863-2483</identifier><identifier>EISSN: 1863-2491</identifier><identifier>DOI: 10.1007/s11701-021-01205-8</identifier><identifier>PMID: 33634355</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Clinical outcomes ; Colectomy - methods ; Colon - surgery ; Colorectal cancer ; Colorectal Surgery ; Cost analysis ; Electronic health records ; Hospital costs ; Humans ; Laparoscopy ; Laparoscopy - methods ; Length of Stay ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Operative Time ; Original Article ; Patients ; Retrospective Studies ; Robotic surgery ; Robotic Surgical Procedures - methods ; Robotics ; Supplies ; Surgeons ; Surgery ; Urology</subject><ispartof>Journal of robotic surgery, 2022-02, Vol.16 (1), p.107-112</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag London Ltd. part of Springer Nature 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer-Verlag London Ltd. part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag London Ltd. part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-27fb9baa40a58d747492bfe73d0c56656c4a36f51d61d8306f46d07713d908b03</citedby><cites>FETCH-LOGICAL-c474t-27fb9baa40a58d747492bfe73d0c56656c4a36f51d61d8306f46d07713d908b03</cites><orcidid>0000-0002-9041-0593</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11701-021-01205-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918716105?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,780,784,885,21388,21389,27924,27925,33530,33531,33744,33745,41488,42557,43659,43805,51319,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33634355$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hancock, Kevin J.</creatorcontrib><creatorcontrib>Klimberg, V. Suzanne</creatorcontrib><creatorcontrib>Nunez-Lopez, Omar</creatorcontrib><creatorcontrib>Gajjar, Aakash H.</creatorcontrib><creatorcontrib>Gomez, Guillermo</creatorcontrib><creatorcontrib>Tyler, Douglas S.</creatorcontrib><creatorcontrib>Rashidi, Laila</creatorcontrib><title>Optimizing outcomes in colorectal surgery: cost and clinical analysis of robotic versus laparoscopic approaches to colon resection</title><title>Journal of robotic surgery</title><addtitle>J Robotic Surg</addtitle><addtitle>J Robot Surg</addtitle><description>The use of robotics in colorectal surgery has been steadily increasing, however, reported longer operative times and increased cost has limited its widespread adoption. We investigated the cost of elective colorectal surgery based on type of anatomic resection and the impact of a standardized protocol for robotic colectomies. A retrospective review was conducted of 279 elective colectomies at a single institution between 2013 and 2017. Clinical outcomes and detailed cost data were compared based on open, laparoscopic, or robotic surgical approach and stratified by anatomic resection. Robotic, laparoscopic and open colectomy rates were 35, 34 and 31%, respectively. While total costs were similar in robotic and laparoscopic surgery, anatomic resection stratification showed that low anterior resection (LAR) was significantly cheaper ($14,093 vs $17,314). When a standardized surgical protocol was implemented for robotic colectomies, significant reductions in operative times, length of stay, total cost, and operative cost were observed. Robotic surgery may be most cost effective for elective LAR compared to laparoscopic or open approaches. A standardized surgical protocol for robotic surgery may help reduce costs by reducing operative times, operating rooms expenditure, and lengths of stay.</description><subject>Clinical outcomes</subject><subject>Colectomy - methods</subject><subject>Colon - surgery</subject><subject>Colorectal cancer</subject><subject>Colorectal Surgery</subject><subject>Cost analysis</subject><subject>Electronic health records</subject><subject>Hospital costs</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Operative Time</subject><subject>Original Article</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robotics</subject><subject>Supplies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Urology</subject><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kctu1DAUhi0EomXgBVggS2zYBOz4GhZIVdUCUqVuYG05jjN1ldjBx6k0LHlyPJ0yXBYsLFvn_P7O5UfoJSVvKSHqHVCqCG1IWw9tiWj0I3RKtWRNyzv6-PjW7AQ9A7glRCjB6FN0wphknAlxin5cLyXM4XuIW5zW4tLsAYeIXZpS9q7YCcOatz7v3tcYFGzjgN0UYnA1ZaOddhAApxHn1KcSHL7zGVbAk11sTuDSUmN2WXKy7qayS7pnR5w9VH5I8Tl6MtoJ_IuHe4O-Xl58Of_UXF1__Hx-dtU4rnhpWjX2XW8tJ1boQdVY1_ajV2wgTkgppOOWyVHQQdJBMyJHLgeiFGVDR3RP2AZ9OHCXtZ_94Hws2U5myWG2eWeSDebvTAw3ZpvujGaad0JUwJsHQE7fVg_FzAGcnyYbfVrB1K1zRphq97Ve_yO9TWuu26qqjmpFJSV7YHtQubopyH48NkOJ2VtsDhabarG5t7j2skGv_hzj-OWXp1XADgKoqVit-137P9if7eq0zg</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Hancock, Kevin J.</creator><creator>Klimberg, V. Suzanne</creator><creator>Nunez-Lopez, Omar</creator><creator>Gajjar, Aakash H.</creator><creator>Gomez, Guillermo</creator><creator>Tyler, Douglas S.</creator><creator>Rashidi, Laila</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M7S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9041-0593</orcidid></search><sort><creationdate>20220201</creationdate><title>Optimizing outcomes in colorectal surgery: cost and clinical analysis of robotic versus laparoscopic approaches to colon resection</title><author>Hancock, Kevin J. ; Klimberg, V. Suzanne ; Nunez-Lopez, Omar ; Gajjar, Aakash H. ; Gomez, Guillermo ; Tyler, Douglas S. ; Rashidi, Laila</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-27fb9baa40a58d747492bfe73d0c56656c4a36f51d61d8306f46d07713d908b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Clinical outcomes</topic><topic>Colectomy - methods</topic><topic>Colon - surgery</topic><topic>Colorectal cancer</topic><topic>Colorectal Surgery</topic><topic>Cost analysis</topic><topic>Electronic health records</topic><topic>Hospital costs</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Operative Time</topic><topic>Original Article</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Robotics</topic><topic>Supplies</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hancock, Kevin J.</creatorcontrib><creatorcontrib>Klimberg, V. Suzanne</creatorcontrib><creatorcontrib>Nunez-Lopez, Omar</creatorcontrib><creatorcontrib>Gajjar, Aakash H.</creatorcontrib><creatorcontrib>Gomez, Guillermo</creatorcontrib><creatorcontrib>Tyler, Douglas S.</creatorcontrib><creatorcontrib>Rashidi, Laila</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Engineering Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of robotic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hancock, Kevin J.</au><au>Klimberg, V. Suzanne</au><au>Nunez-Lopez, Omar</au><au>Gajjar, Aakash H.</au><au>Gomez, Guillermo</au><au>Tyler, Douglas S.</au><au>Rashidi, Laila</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimizing outcomes in colorectal surgery: cost and clinical analysis of robotic versus laparoscopic approaches to colon resection</atitle><jtitle>Journal of robotic surgery</jtitle><stitle>J Robotic Surg</stitle><addtitle>J Robot Surg</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>16</volume><issue>1</issue><spage>107</spage><epage>112</epage><pages>107-112</pages><issn>1863-2483</issn><eissn>1863-2491</eissn><abstract>The use of robotics in colorectal surgery has been steadily increasing, however, reported longer operative times and increased cost has limited its widespread adoption. We investigated the cost of elective colorectal surgery based on type of anatomic resection and the impact of a standardized protocol for robotic colectomies. A retrospective review was conducted of 279 elective colectomies at a single institution between 2013 and 2017. Clinical outcomes and detailed cost data were compared based on open, laparoscopic, or robotic surgical approach and stratified by anatomic resection. Robotic, laparoscopic and open colectomy rates were 35, 34 and 31%, respectively. While total costs were similar in robotic and laparoscopic surgery, anatomic resection stratification showed that low anterior resection (LAR) was significantly cheaper ($14,093 vs $17,314). When a standardized surgical protocol was implemented for robotic colectomies, significant reductions in operative times, length of stay, total cost, and operative cost were observed. Robotic surgery may be most cost effective for elective LAR compared to laparoscopic or open approaches. A standardized surgical protocol for robotic surgery may help reduce costs by reducing operative times, operating rooms expenditure, and lengths of stay.</abstract><cop>London</cop><pub>Springer London</pub><pmid>33634355</pmid><doi>10.1007/s11701-021-01205-8</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9041-0593</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-2483 |
| ispartof | Journal of robotic surgery, 2022-02, Vol.16 (1), p.107-112 |
| issn | 1863-2483 1863-2491 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8384955 |
| source | MEDLINE; ProQuest Central (Alumni Edition); ProQuest Central UK/Ireland; SpringerLink Journals - AutoHoldings; ProQuest Central |
| subjects | Clinical outcomes Colectomy - methods Colon - surgery Colorectal cancer Colorectal Surgery Cost analysis Electronic health records Hospital costs Humans Laparoscopy Laparoscopy - methods Length of Stay Medicine Medicine & Public Health Minimally Invasive Surgery Operative Time Original Article Patients Retrospective Studies Robotic surgery Robotic Surgical Procedures - methods Robotics Supplies Surgeons Surgery Urology |
| title | Optimizing outcomes in colorectal surgery: cost and clinical analysis of robotic versus laparoscopic approaches to colon resection |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T14%3A17%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Optimizing%20outcomes%20in%20colorectal%20surgery:%20cost%20and%20clinical%20analysis%20of%20robotic%20versus%20laparoscopic%20approaches%20to%20colon%20resection&rft.jtitle=Journal%20of%20robotic%20surgery&rft.au=Hancock,%20Kevin%20J.&rft.date=2022-02-01&rft.volume=16&rft.issue=1&rft.spage=107&rft.epage=112&rft.pages=107-112&rft.issn=1863-2483&rft.eissn=1863-2491&rft_id=info:doi/10.1007/s11701-021-01205-8&rft_dat=%3Cproquest_pubme%3E2918716105%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2918716105&rft_id=info:pmid/33634355&rfr_iscdi=true |