411 the ‘True’ Cost of Robotic Prostatectomy in a Taxation Based Healthcare System

The role of robotic assisted laparoscopy for oesophagogastric oncological resection; an appraisal of the literature

“…With no current data exploring cost, quality of life or well‐defined outcome data from robotic‐assisted upper gastrointestinal oncological resection, any cost analysis presented can at the current time only be a guess. Estimates from the cost data acquired from the radical prostatectomy, however, has placed the robotic‐assisted laparoscopic technique as being over £2000 pounds more expensive than the laparoscopic and £3000 more than the open technique 28,31–34 …”

“…Estimates from the cost data acquired from the radical prostatectomy, however, has placed the robotic-assisted laparoscopic technique as being over £2000 pounds more expensive than the laparoscopic and £3000 more than the open technique. 28,[31][32][33][34] Despite these confounding limitations, the evidence for the benefit of the robot as a platform from which novice laparoscopists can offer a minimally invasive surgical procedure promoting all the operative benefits to the patients is building. Learning curves for minimally invasive upper gastrointestinal are poorly defined at best 35,36 with no learning curve data for robotic upper gastrointestinal oncological procedures currently defined.…”

“…Marked heterogeneity of the studies in terms of the operative approach and extent of robotic involvement within that approach confounds the results (Table 1). Indications for surgery included high grade dysplasia (11), adenocarcinoma (31), and squamous cell carcinoma (43) of the esophagus; the remaining series did not comment upon the histology and only one series commented upon grade. Sixty-two percent (82) of the tumors were located in the distal esophagus with only a few series differentiating the lower esophagus from those involving the gastroesophageal Table 1 Inclusive studies involving the robotic-assisted esophagectomy for a malignant lesion; the approach taken and operative outcomes Robotic assisted esophagogastric oncological resection 243 junction.…”

Laparoscopic Radical Prostatectomy in the Uk: Defining and Overcoming the Obstacles

“…Consultants wishing to start using a new procedure on the scale of LRP in the UK are required to obtain approval from the local Although LRP will still be slightly more expensive than open surgery, it can be shown to be cost efficient over the adjusted national tariff [6]. It might be more difficult to build a realistic business case for using robotic LRP, given the large overheads and running costs involved; however, the relative ease of learning the procedure might obviate some of the issues raised above.…”