Comparative effectiveness of laparoscopic versus robot-assisted colorectal resection

Abstract

RALR had significantly higher costs and operative time than traditional LAP without a measurable benefit.

A Systematic Review of Economic Evaluations of the Use of Robotic Assisted Laparoscopy in Surgery Compared with Open or Laparoscopic Surgery

“…None of these studies included the robot capital cost, time-horizon beyond hospitalisation time and utility measurements. A similar approach was used in the study that reported on resection of the rectum [43]. This study has reported higher total costs for RAL surgery (US$24,531) compared with laparoscopy (US$19,269).…”

“…Colectomy costs were reported in three studies that all identified RAL (range US$15,869-$20,555) to have higher total cost than laparoscopy (range US$12,790-$16,896) [27,42,43]. None of these studies included the robot capital cost, time-horizon beyond hospitalisation time and utility measurements.…”

“…Almost half of the studies considered urological indications (n = 20; 42 %) [11-13, 15, 17, 20, 21, 24, 26, 30-35, 37, 45, 48, 54, 55, 58]; with 14 (30 %) from obstetrics and gynaecology [16, 19, 22, 23, 28, 29, 36, 38-40, 44, 49, 56, 57], seven (15 %)from general surgery [18,27,42,43,46,51,52] and three (6 %) from cardiothoracic surgery [36,41,47]. The annual number of new studies published started to increase in 2010, with 11 publications in 2014.…”

Surgical stress response after colorectal resection: a comparison of robotic, laparoscopic, and open surgery

“…Some studies have compared the feasibility and efficacy of robotic surgery with that of laparoscopic surgery for the treatment of colorectal cancer [14][15][16]. However, no studies have compared patients' perioperative immune status after robotic, laparoscopic, and open colorectal surgery.…”

Feasibility and Usefulness of a Joystick-Guided Robotic Scope Holder (Soloassist) in Laparoscopic Surgery

“…In previous studies analyzing a large-scale clinical database, a clinical benefit cannot be confirmed with robot-assisted colorectal resection, and it is reported that robotic surgery comes along with significantly higher costs compared to laparoscopic surgery [9][10][11]. Moreover, in the ROLARR (RObotic Versus LAparoscopic Resection for Rectal Cancer) trial, which attracted attention as a high-quality multicenter prospective randomized controlled trial comparing robotic rectal resection for rectal cancer with laparoscopic resection, there was no statistically significant difference regarding conversion rate to open surgery, configured as a primary endpoint, as well as in bladder dysfunction, sexual function, and pathological resection margin positivity [30].…”