Literature DB >> 23143426

Cost analysis of open versus robotic-assisted sacrocolpopexy.

Lennox Hoyte1, Roshanak Rabbanifard, Jennifer Mezzich, Renee Bassaly, Katheryne Downes.   

Abstract

OBJECTIVE: This study aimed to report on the costs, operative times, and length of stay for robotic and open sacrocolpopexy. STUDY
DESIGN: This retrospective study compares consecutive open and robotic sacrocolpopexies that were performed beyond the surgical learning curve. Hospital direct costs, operative times, and length of stay were compared for the 2 groups. Robot cost and maintenance were included. Statistical significance was considered at P < 0.05.
RESULTS: The study comprised 91 open and 73 robotic sacrocolpopexies. Both groups were similar clinically. Median operative times for open and robotic approaches were 166 and 212 minutes (P < 0.001), respectively, and length of stay was 3 versus 2 days (P < 0.001). Of the women in the robotic group, 48% had length of stay less than 24 hours versus 1% in the open group. Median robotic and open procedure direct costs were $6668 and $7804 (P = 0.002), respectively. Readmission rates at 30 days postoperatively were similar.
CONCLUSIONS: Robotic sacrocolpopexy costs less but takes slightly longer to perform than the open procedure.

Entities:  

Mesh:

Year:  2012        PMID: 23143426     DOI: 10.1097/SPV.0b013e318270ade3

Source DB:  PubMed          Journal:  Female Pelvic Med Reconstr Surg        ISSN: 2151-8378            Impact factor:   2.091


  4 in total

1.  The end of robot-assisted laparoscopy? A critical appraisal of scientific evidence on the use of robot-assisted laparoscopic surgery.

Authors:  Jeroen Heemskerk; Nicole D Bouvy; Cor G M I Baeten
Journal:  Surg Endosc       Date:  2014-04       Impact factor: 4.584

2.  Female urology: Growing evidence for robotic prolapse surgery.

Authors:  Kamran P Sajadi; Howard B Goldman
Journal:  Nat Rev Urol       Date:  2013-09-10       Impact factor: 14.432

Review 3.  Robotic pelvic organ prolapse surgery.

Authors:  Kamran P Sajadi; Howard B Goldman
Journal:  Nat Rev Urol       Date:  2015-03-24       Impact factor: 14.432

Review 4.  Laparoscopic versus open sacrocolpopexy for treatment of prolapse of the apical segment of the vagina: a systematic review and meta-analysis.

Authors:  Maribel De Gouveia De Sa; Leica Sarah Claydon; Barry Whitlow; Maria Angelica Dolcet Artahona
Journal:  Int Urogynecol J       Date:  2015-08-07       Impact factor: 2.894

  4 in total

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