Read by QxMD icon Read

Robotic surgery cost vs laparoscopic

Audrey L Stokes, Sanjib D Adhikary, Ashley Quintili, Frances J Puleo, Christine S Choi, Christopher S Hollenbeak, Evangelos Messaris
BACKGROUND: Enhanced recovery protocols frequently use multimodal postoperative analgesia to improve postoperative outcomes in patients undergoing colorectal surgery. OBJECTIVE: The purpose of this study was to evaluate liposomal bupivacaine use in transversus abdominis plane blocks on postoperative pain scores and opioid use after colorectal surgery. DESIGN: This was a retrospective cohort study comparing outcomes between patients receiving nonliposomal anesthetic (n = 104) and liposomal bupivacaine (n = 303) blocks...
February 2017: Diseases of the Colon and Rectum
Francesco Raspagliesi, Giorgio Bogani, Fabio Martinelli, Mauro Signorelli, Cono Scaffa, Ilaria Sabatucci, Domenica Lorusso, Antonino Ditto
PURPOSE: To evaluate the alterations on surgical outcomes after of the implementation of 3D laparoscopic technology for the surgical treatment of early-stage cervical carcinoma. METHODS: Data of patients undergoing type B radical hysterectomy (with or without bilateral salpingo-oophorectomy) and pelvic lymphadenectomy via 3D laparoscopy were compared with a historical cohort of patients undergoing type B radical hysterectomy via conventional laparoscopy. Complications (within 60 days) were graded per the Accordion severity system...
January 21, 2017: Tumori
Rong Liu, Tao Zhang, Zhi-Ming Zhao, Xiang-Long Tan, Guo-Dong Zhao, Xuan Zhang, Yong Xu
BACKGROUND: Pancreaticoduodenectomy (PD) is a difficult and complex operation. The introduction of robotics has opened up new angles in pancreatic surgery. This study aims to assess the surgical outcomes of robot-assisted laparoscopic pancreaticoduodenectomy relative to its laparoscopic counterpart. METHODS: A retrospective study was designed to compare the surgical outcomes of 27 robot-assisted laparoscopic pancreaticoduodenectomy (RPD) and 25 laparoscopic pancreaticoduodenectomy (LPD)...
September 8, 2016: Surgical Endoscopy
J-L Faucheron, B Trilling, S Barbois, P-Y Sage, P-A Waroquet, F Reche
BACKGROUND: Ventral rectopexy to the promontory has become one of the most strongly advocated surgical treatments for patients with full-thickness rectal prolapse and deep enterocele. Despite its challenges, laparoscopic ventral rectopexy with or without robotic assistance for selected patients can be performed with relatively minimal patient trauma thus creating the potential for same-day discharge. The aim of this prospective case-controlled study was to assess the feasibility, safety, and cost of day case robotic ventral rectopexy compared with routine day case laparoscopic ventral rectopexy...
October 2016: Techniques in Coloproctology
Luca Morelli, Simone Guadagni, Valentina Lorenzoni, Gregorio Di Franco, Luigi Cobuccio, Matteo Palmeri, Giovanni Caprili, Cristiano D'Isidoro, Andrea Moglia, Vincenzo Ferrari, Giulio Di Candio, Franco Mosca, Giuseppe Turchetti
PURPOSE: The aim of this study is to compare surgical parameters and the costs of robotic surgery with those of laparoscopic approach in rectal cancer based on a single surgeon's early robotic experience. METHODS: Data from 25 laparoscopic (LapTME) and the first 50 robotic (RobTME) rectal resections performed at our institution by an experienced laparoscopic surgeon (>100 procedures) between 2009 and 2014 were retrospectively analyzed and compared. Patient demographic, procedure, and outcome data were gathered...
September 2016: International Journal of Colorectal Disease
Antonio Pellegrino, Gianluca Raffaello Damiani, Giorgio Fachechi, Silvia Corso, Cecilia Pirovano, Claudia Trio, Mario Villa, Daniela Turoli, Aly Youssef
Despite the rapid uptake of robotic surgery, the effectiveness of robotically assisted hysterectomy (RAH) remains uncertain, due to the costs widely variable. Observed the different related costs of robotic procedures, in different countries, we performed a detailed economic analysis of the cost of RAH compared with total laparoscopic (TLH) and open hysterectomy (OH). The three surgical routes were matched according to age, BMI, and comorbidities. Hysterectomy costs were collected prospectively from September 2014 to September 2015...
July 26, 2016: Journal of Robotic Surgery
Robert H Hollis, Jamie A Cannon, Brandon A Singletary, Melissa L Korb, Mary T Hawn, Martin J Heslin
INTRO: Although the use of laparoscopy has significantly increased in colorectal procedures, robotic surgery may enable additional cases to be performed using a minimally invasive approach. We separately evaluated the value of laparoscopic and robotic colorectal procedures compared to the open approach. METHODS: Patients undergoing nonemergent colorectal operations from 2010 to 2013 with National Surgical Quality Improvement Project data were identified. Robotic and laparoscopic procedures were separately matched (1:1) to open cases...
November 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Geertje Callewaert, Jan Bosteels, Susanne Housmans, Jasper Verguts, Ben Van Cleynenbreugel, Frank Van der Aa, Dirk De Ridder, Ignace Vergote, Jan Deprest
The use of robot-assisted surgery (RAS) has gained popularity in the field of gynaecology, including pelvic floor surgery. To assess the benefits of RAS, we conducted a systematic review of randomized controlled trials comparing laparoscopic and robotic-assisted sacrocolpopexy. The Cochrane Library (1970-January 2015), MEDLINE (1966 to January 2015), and EMBASE (1974 to January 2015) were searched, as well as and the International Clinical Trials Registry Platform. We identified two randomized trials (n = 78) comparing laparoscopic with robotic sacrocolpopexy...
2016: Gynecological Surgery
Kai Alexander Probst, Carsten-Henning Ohlmann, Matthias Saar, Stefan Siemer, Michael Stöeckle, Martin Janssen
OBJECTIVES: To compare robot-assisted laparoscopic adrenalectomy (RALA) and open adrenalectomy (OA) with regard to intra-operative complications, peri-operative outcome and cost effectiveness. SUBJECTS AND METHODS: Functional and statistical data from patients who underwent OA or RALA between 2001 and 2015 were prospectively recorded including intra- and postoperative outcomes. Data on per-day costs from current census reports (€540/day and €1 145/day for normal and intermediate care [IMC]) were also used to evaluate treatment costs...
December 2016: BJU International
Heather L Yeo, Abby J Isaacs, Jonathan S Abelson, Jeffrey W Milsom, Art Sedrakyan
BACKGROUND: Previous studies have shown that high-volume centers and laparoscopic techniques improve outcomes of colectomy. These evidence-based measures have been slow to be accepted, and current trends are unknown. In addition, the current rates and outcomes of robotic surgery are unknown. OBJECTIVE: The purpose of this study was to examine current national trends in the use of minimally invasive surgery and to evaluate hospital volume trends over time. DESIGN: This was a retrospective study...
June 2016: Diseases of the Colon and Rectum
Vanitha Vasudevan, Ryan Reusche, Hannah Wallace, Srinivas Kaza
BACKGROUND: The introduction of minimally invasive platforms for colorectal surgery-laparoscopy and more recently robotics-allows for smaller incisions, shortened hospital stay, less postoperative pain, and quicker return to normal activity. There exists a lack of evidence-based knowledge comparing the clinical outcomes and cost-benefit analysis of the different types of minimally invasive surgery. The aim of this study was to analyze and compare the short-term clinical outcomes and overall hospital costs between laparoscopic and robotic colorectal surgery...
December 2016: Surgical Endoscopy
Kimberly E Waite, Mark A Herman, Patrick J Doyle
Despite growing popularity and potential advantages of robotics in general surgery, there is very little published data regarding robotic inguinal hernia repair. This study examines a single surgeon's early experience with robotic TAPP inguinal hernia repair compared with laparoscopic TAPP repair in terms of feasibility and cost. We performed a retrospective review of 63 consecutive patients (24 laparoscopic and 39 robotic) who underwent inguinal hernia repair between December 2012-December 2014 at a single institution by a single surgeon...
September 2016: Journal of Robotic Surgery
Peter E Miller, Haisar Dao, Nivedh Paluvoi, Matthew Bailey, David Margolin, Nishit Shah, H D Vargas
BACKGROUND: The robotic platform has been used increasingly to perform colorectal surgery. The benefits of robotic colectomy when compared with laparoscopic colectomy have not been definitively established. STUDY DESIGN: A retrospective review of the NSQIP database was performed on patients undergoing elective laparoscopic or robotic colectomy in 2013. Demographic characteristics, length of stay, operative time, and 30-day postoperative complications were compared between the 2 groups...
August 2016: Journal of the American College of Surgeons
Ke Pan, Yao Zhang, Yanzhou Wang, Yunle Wang, Huicheng Xu
BACKGROUND: Robot-assisted laparoscopic sacrocolpopexy (RALSC) has spread rapidly without the availability of comprehensive and systematically recorded outcome data. OBJECTIVE: To systematically review and compare the outcomes of laparoscopic sacrocolpopexy (LSC) and RALSC. SEARCH STRATEGY: PubMed and Scopus were searched for reports published from 2000 to 2014, using the search terms "robotic sacrocolpopexy," "laparoscopic sacrocolpopexy," and "sacral colpopexy...
March 2016: International Journal of Gynaecology and Obstetrics
A Vinci, M H Hanna, A Pigazzi
AIM: Since the introduction of laparoscopic and robotic technology in surgical practice, there have been multiple reports and a few clinical trials on their use in colorectal surgery. Although the application of laparoscopy to right colectomy has been increasingly adopted in many institutions around the world, there are still several open issues regarding the effective role of robotics and single incision surgery. This is a review of the relevant surgical literature evaluating the risks, benefits, and costs of minimally invasive approaches to right colectomy (RC) surgery...
October 2015: Minerva Chirurgica
Francisco Gelpi-Hammerschmidt, Ilker Tinay, Christopher B Allard, Li-Ming Su, Mark A Preston, Quoc-Dien Trinh, Adam S Kibel, Ye Wang, Benjamin I Chung, Steven L Chang
PURPOSE: We evaluate the contemporary incidence and consequences of postoperative rhabdomyolysis after extirpative renal surgery. MATERIALS AND METHODS: We conducted a population based, retrospective cohort study of patients who underwent extirpative renal surgery with a diagnosis of a renal mass or renal cell carcinoma in the United States between 2004 and 2013. Regression analysis was performed to evaluate 90-day mortality (Clavien grade V), nonfatal major complications (Clavien grade III-IV), hospital readmission rates, direct costs and length of stay...
February 2016: Journal of Urology
Andrew Zakhari, Nicholas Czuzoj-Shulman, Andrea R Spence, Walter H Gotlieb, Haim A Abenhaim
OBJECTIVE: Increasingly, robotic surgery is being used for total hysterectomy, bilateral salpingo-oophorectomy, and lymph node dissection for uterine cancer. The purpose of this study was to compare the costs and complications among women undergoing robotic and laparoscopic hysterectomy for uterine cancer. STUDY DESIGN: We carried out a cohort study using the Nationwide Inpatient Sample (NIS) database between 2008 and 2012 on all women diagnosed with uterine cancer, classifying women as either laparoscopically or robotically treated, excluding laparotomies or vaginal approaches...
November 2015: American Journal of Obstetrics and Gynecology
Karim M Ramji, Michelle C Cleghorn, Jonathan M Josse, Andrea MacNeill, Catherine O'Brien, David Urbach, Fayez A Quereshy
BACKGROUND: Robotic surgery has gained popularity in surgical oncology. Rectal cancer surgery, known to be technically challenging, may benefit from robotics in achieving better mesorectal dissection and may contribute to improved perioperative outcomes. The objective of this study was to compare early experience in robotic surgery to conventional approaches with regard to clinicopathologic and economic parameters. METHODS: A retrospective review using a prospectively maintained database of rectal cancer surgeries performed at a tertiary cancer center from 2007 to 2013 was conducted...
April 2016: Surgical Endoscopy
Yubin Wang, Xin Ma, Qingbo Huang, Qingshan Du, Huijie Gong, Jiwen Shang, Xu Zhang
OBJECTIVE: To evaluate the peri-operative, functional and oncological outcomes of robot-assisted partial nephrectomy (RAPN) and laparoscopic partial nephrectomy (LPN) for moderately or highly complex tumours (defined as RENAL nephrometry score ≥7). PATIENTS AND METHODS: We retrospectively analysed the medical charts of 216 patients with complex tumours who underwent LPN (n = 135) or RAPN (n = 81) between 2008 and 2014. Peri-operative data, pathological variables, complications, functional and oncological outcomes were reviewed...
January 2016: BJU International
Hyoung-Il Kim, Sang-Uk Han, Han-Kwang Yang, Young-Woo Kim, Hyuk-Joon Lee, Keun Won Ryu, Joong-Min Park, Ji Yeong An, Min-Chan Kim, Sungsoo Park, Kyo Young Song, Sung Jin Oh, Seong-Ho Kong, Byoung Jo Suh, Dae Hyun Yang, Tae Kyung Ha, Youn Nam Kim, Woo Jin Hyung
OBJECTIVE: To compare short-term surgical outcomes including financial cost of robotic and laparoscopic gastrectomy. BACKGROUND: Despite a lack of supporting evidence, robotic surgery has been increasingly adopted as a minimally invasive modality for the treatment of gastric cancer because of its assumed technical superiority over conventional laparoscopy. METHODS: A prospective, multicenter comparative study was conducted. Patients were matched according to the surgeon, extent of gastric resection, and sex...
January 2016: Annals of Surgery
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"