Keith King1,2, Alvaro Galvez3,4, Jill Stoltzfus3,5, Leonardo Claros3,5, Maher El Chaar3,5. 1. St. Luke's University Health Network, Bethlehem, PA, USA. Keith.King@sluhn.org. 2. St. Luke's University Health Network, Suite 205 North, 240 Cetronia Road, Allentown, PA, 18104, USA. Keith.King@sluhn.org. 3. St. Luke's University Health Network, Bethlehem, PA, USA. 4. St. Luke's University Health Network, Suite 205 North, 240 Cetronia Road, Allentown, PA, 18104, USA. 5. Temple Lewis Katz School of Medicine, Philadelphia, PA, USA.
Abstract
BACKGROUND: Although the use of da Vinci robotic platforms in bariatric surgery is gaining momentum, it is still controversial because of financial concerns. OBJECTIVES: The objective of our study is to evaluate the cost of robotically assisted Roux-en-Y gastric bypass (R-RYGB) versus conventional laparoscopic Roux-en-Y gastric bypass (L-RYGB). METHODS: We analyzed consecutive primary bariatric patients who underwent R-RYGB and compared them with patients who underwent L-RYGB during the same time period. Primary outcomes were overall cost for length of stay, operating time, and supplies. Direct cost data was generated using the StrataJazz reporting module, which is fed daily from EPIC, our electronic health record system, and contains hospital-based data only. Secondary outcomes were 30-day rates of complications, reoperations, and readmissions. RESULTS: We found no difference in primary or secondary outcomes following R-RYGB and L-RYGB. The overall cost for R-RYGB and L-RYGB was not statistically different (median total cost for R-RYGB and L-RYBG was $6431.34 and $6349.09, P > 0.05, respectively). Operating time cost was significantly higher for R-RYGB compared with L-RYGB ($2248.51 versus $19,836.29, respectively, P < 0.0001, respectively). R-RYGB had lower cost of supplies as well as a shorter length of stay compared with L-RYGB (mean 1.5 versus 1.7 days, respectively). CONCLUSIONS: Our study revealed no cost difference between R-RYGB and L-RYGB, with a decreased cost of supplies and trend toward lower hospital stay favoring R-RYGB. Further studies are needed to evaluate the outcomes of R-RYGB compared with L-RYGB; however, the cost of robotic surgery may not be a prohibitive factor.
BACKGROUND: Although the use of da Vinci robotic platforms in bariatric surgery is gaining momentum, it is still controversial because of financial concerns. OBJECTIVES: The objective of our study is to evaluate the cost of robotically assisted Roux-en-Y gastric bypass (R-RYGB) versus conventional laparoscopic Roux-en-Y gastric bypass (L-RYGB). METHODS: We analyzed consecutive primary bariatric patients who underwent R-RYGB and compared them with patients who underwent L-RYGB during the same time period. Primary outcomes were overall cost for length of stay, operating time, and supplies. Direct cost data was generated using the StrataJazz reporting module, which is fed daily from EPIC, our electronic health record system, and contains hospital-based data only. Secondary outcomes were 30-day rates of complications, reoperations, and readmissions. RESULTS: We found no difference in primary or secondary outcomes following R-RYGB and L-RYGB. The overall cost for R-RYGB and L-RYGB was not statistically different (median total cost for R-RYGB and L-RYBG was $6431.34 and $6349.09, P > 0.05, respectively). Operating time cost was significantly higher for R-RYGB compared with L-RYGB ($2248.51 versus $19,836.29, respectively, P < 0.0001, respectively). R-RYGB had lower cost of supplies as well as a shorter length of stay compared with L-RYGB (mean 1.5 versus 1.7 days, respectively). CONCLUSIONS: Our study revealed no cost difference between R-RYGB and L-RYGB, with a decreased cost of supplies and trend toward lower hospital stay favoring R-RYGB. Further studies are needed to evaluate the outcomes of R-RYGB compared with L-RYGB; however, the cost of robotic surgery may not be a prohibitive factor.
Entities:
Keywords:
Hospital length of stay cost; Laparoscopic Roux-en-Y gastric bypass; Operating time cost; Robotic Roux-en-Y gastric bypass; Supplies cost
Authors: Jonathan G Bailey; Jill A Hayden; Philip J B Davis; Richard Y Liu; David Haardt; James Ellsmere Journal: Surg Endosc Date: 2013-10-03 Impact factor: 4.584
Authors: Carolina Vanetta; Nicolás H Dreifuss; Francisco Schlottmann; Alberto Mangano; Antonio Cubisino; Valentina Valle; Carolina Baz; Francesco M Bianco; Chandra Hassan; Antonio Gangemi; Mario A Masrur Journal: J Clin Med Date: 2022-03-25 Impact factor: 4.241