Cost-effectiveness of robot-assisted partial nephrectomy for the prevention of perioperative complications

Abstract

RAPN appears to be a cost-effective mean to avoid inhospital complications; however, these results might not apply to low-volume hospitals or to other health care systems.

Robotic longitudinal pancreaticojejunostomy for chronic pancreatitis: Comparison of clinical outcomes and cost to the open approach

“…Case reports of robot‐assisted laparoscopic (RAL) LPJ describe the procedure and its technical success; however, no comparison of clinical outcomes of RAL and open LPJ is currently available. Further, while the cost‐effectiveness of robotic surgery has been described in other surgical fields, increased operative cost and longer operative times have been associated with robotic HPB surgery . A previous cost‐comparative analysis of RAL and open pancreaticoduodenectomy from our center demonstrated no difference in cost between the approaches due to shorter hospital LOS and fewer complications in the RAL cohort .…”

Perioperative and renal functional outcomes of laparoscopic partial nephrectomy (LPN) for renal tumours of high surgical complexity: a single-institute comparison between clampless and clamped procedures

“…Both clamped and clampless techniques allow the operator to achieve good functional results at a short 6-month follow-up, even if larger prospective studies with longer follow-up are needed to definitively compare the two approaches. Furthermore, it is well known that the laparoscopic approach leads to reduced costs compared to the robotic procedure [27], although the lack of an equal comparison in terms of direct and indirect costs prevented us from concluding which could be considered the optimal approach. Trifecta was achieved in 64 (94 %) and 37 (90 %) of group A and group B patients, respectively (P = 0.4525).…”

Cost‐effectiveness analysis of robot‐assisted vs. open partial nephrectomy

“…In a previous model by our group and also based on US data, we calculated incremental costs to be around $5000 per avoided perioperative complication using robotic assistance. However, that study may have overestimated the incremental cost associated with RAPN compared to OPN (i.e.…”

“…The costs surrounding RAPN have been a source of lengthy and unresolved debate, due in part to conflicting results: some centres have reported higher cost for RAPN than for OPN, while others have not . In a previous analysis of cost‐effectiveness based on data generated in the US, we estimated the incremental cost for RAPN to prevent a perioperative complication to amount to around $5000. However, that analysis underestimated the cost‐effectiveness of RAPN because the model did not differentiate between costs for patients with and without complications .…”