Robotic surgery: financial impact of surgical trays optimization in bariatric and thoracic surgery

Sánchez, Alexis; Herrera, Luis Javier Pentón; Teixeira, André; Mogollon, Ivan; Inchausti, Cristina; Gibson, Desrene; Stuart, Mary; Crespo, Matthew

doi:10.1007/s11701-022-01412-x

Cited by 9 publications

(3 citation statements)

References 11 publications

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“…The optimization and standardization of surgical trays simpli es table set-up and counting time, and reduces the workload in the Sterilization Process Department (SPD), the nancial impact of this strategy has been previously reported by the authors (22).…”

Section: Discussionmentioning

confidence: 95%

Improving efficiency and reducing costs in robotic surgery: a Lean Six Sigma approach to optimize turnover time

et al. 2023

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Operating room (OR) turnover time (TOT) is the time it takes to prepare an OR for the next surgery after the previous one has been completed. Reducing OR TOT can improve the e ciency of the OR, reduce costs and improve surgeons' and patients' satisfaction. To evaluate the effectiveness of an Operating Room (OR) Turnover Time (TOT) reduction initiative using the Lean Six Sigma methodology (DMAIC) in the bariatric and thoracic service lines. Performance improvement strategies consisted on simplifying steps (surgical tray optimization) and concurrent steps (parallel task execution). We compared two nonconsecutive months (pre-implementation and post-implementation). A paired t-test was used to assess whether the difference in the measurements was statistically signi cant. The study found that TOT was reduced by 15.6% from an average of 35.6 minutes with a standard deviation of 8.1 to an average of 30.09 minutes with a standard deviation of 9.7 (p < 0.05). Speci cally, in the bariatric service line, TOT was reduced by 17.15% and in the thoracic service line, TOT was reduced by 9.6%. No adverse events related to the initiative were reported. The results of this study indicate that the TOT reduction initiative was effective in reducing TOT. The e cient use of operating rooms is crucial in hospital management, as it not only impacts nances but also affects the satisfaction of surgical teams and patients. This study shows the effectiveness of Lean Six Sigma methodology in reducing TOT and improving the e ciency in the OR.

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Section: Discussionmentioning

confidence: 95%

Improving efficiency and reducing costs in robotic surgery: a Lean Six Sigma approach to optimize turnover time

et al. 2023

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“…Therefore, it is important that hospitals consider all aspects when deciding whether or not to invest in robotics technology including patient safety outcomes versus financial implications before making any decisions about implementing new technologies into their practices. 12,[16][17][18]…”

Section: Robotics In Abdominal Surgerymentioning

confidence: 99%

Robotic Surgery and Hospital Reimbursement

et al. 2023

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The field of plastic surgery remains at the forefront of technological and surgical innovation. However, the promising applications of robotics in plastic surgery must be thoughtfully balanced with hospital finances and reimbursements. Robotic systems have been studied extensively across multiple surgical disciplines and across diverse health care systems. The results show that there may be equal or better patient outcomes than alternatives. In an era where fiscal responsibility in health care is a top priority, thoughtful budgeting and spending must be considered and revisited frequently to attain sustainable organizational models that ensure appropriate use of robotic technology.

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“…Despite the bene ts of robotic-assisted surgery, it is yet to be accepted for its elevated costs. Therefore every approach to reduce it during surgery in robotic-assisted procedures should be recognized and implemented [7,8]. The OR time plays one of the most relevant roles in this, by reducing it, the surgery becomes more cost-effective, which could be accomplished with the introduction of the E100 generator (Intuitive Surgical, Inc.) [9].…”

Section: Introductionmentioning

confidence: 99%

Introducing the E100: will the improvement make a significant difference? Financial analysis based on sleeve gastrectomy

et al. 2023

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Robotic Assisted surgery has proven to show signi cant advantages in surgery, for patients and surgeons alike. Nontheless the elevated cost remains a barrier to its acceptance in the medical eld. Strategies to reduce cost should be implemented as a way to ensure cost-effectiveness in robotic-assisted procedures.The aim of this article was to compared the performance of the new generator E100 (Intuitive Surgical, Inc.) vs. VIO dV 2.0 (Erbe Elektromedizin GmbH) by analyzing the number of times the generators were activated, the average time per seal, total sealing time, and console time. Financial impact based on annual volume was determined. A total of 1,457 sleeves gastrectomies (Erbe:746, E100:711) were analyzed, the average activation per case was similar in both groups. The sealing time dropped by 42.3% and the average console time dropped by 8 minutes in cases with the E100. The nancial analysis

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Robotic surgery: financial impact of surgical trays optimization in bariatric and thoracic surgery

Cited by 9 publications

References 11 publications

Improving efficiency and reducing costs in robotic surgery: a Lean Six Sigma approach to optimize turnover time

Improving efficiency and reducing costs in robotic surgery: a Lean Six Sigma approach to optimize turnover time

Robotic Surgery and Hospital Reimbursement

Introducing the E100: will the improvement make a significant difference? Financial analysis based on sleeve gastrectomy

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