Robotic versus laparoscopic distal pancreatectomy: A comparative study of clinical outcomes and costs analysis

Abstract

RDP showed lower conversion rate and shorter hospital stay than LDP at the price of longer operative time. RDP is financially comparable to LDP.

Meta-analysis of studies comparing conservative treatment with antibiotics and appendectomy for acute appendicitis in the adult

“…Fifth, the time from the diagnosis to the treatment was an important element that may affect the outcome of therapy, which however was not included into our study due to the lack of data in the original literature. Sixth, complications should be classified into different severity levels by Clavien-Dindo scoring system [37, 38], which unfortunately cannot be performed due to the lack of relevant data in the original literature.…”

Oncologic outcomes after robot‐assisted versus laparoscopic distal pancreatectomy: Analysis of the National Cancer Database

“…17 In comparison, a study from Spain demonstrated no significant difference (RDP: 9198.64 € vs LDP: 9399.74 €; p > 0.5) between the two approaches. 18 Waters et al reported that the cost of RDP was lower ($ 10,588) compared with the laparoscopic ($ 12,986) procedure because of a shorter length of stay. 19 Kang et al found RDP to be 2.5 times more expensive than LDP ($ 8304 vs. $ 3861).…”

Robotics in HPB surgery

“…12 Ielpo et al also demonstrated the same offsetting of high start-up costs associated with RDP as reduced LOS, as well as reduced use of surgical staplers and energy devices compared with LDP. 13 However, other studies suggest RDP is considerably more costly than LDP, owing to start-up and maintenance costs -although there is wide variation in cost calculation methodology and assumptions. 9 Kang et al provide a Korean perspective, reporting a 2.5-fold increase in costs with RDP compared with LDP.…”

“…In addition to material costs and LOS, operating time is also a contributor to the overall cost. Most studies report a significantly longer operating time for RDP compared with LDP, 8,[12][13][14][16][17][18] which may in part be due to the 30 minutes required to dock and undock the robot, and in part due to the learning curve effect in RDP. In the largest series by Zureikat et al including 83 RDP, longer operating times are reported early in the series but eventually become equivalent to both the LDP and OPD series by the end of the 4-year experience.…”