ROBOTIC AND DIRECT MANUAL LAPAROSCOPIC DISTAL PANCREATECTOMY: A COST-ANALYSIS COMPARISON
Aim: The aim of the present study is to address a structured cost analysis by comparing surgical outcomes and costs of robotic distal pancreatectomy (RAS) with the da Vinci Si and Xi, and with direct manual laparoscopy (DML). Methods: Data related to 66 robotic distal pancreatectomies performed at o...
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ftunivpisairis:oai:arpi.unipi.it:11568/1066038 2024-04-14T08:10:55+00:00 ROBOTIC AND DIRECT MANUAL LAPAROSCOPIC DISTAL PANCREATECTOMY: A COST-ANALYSIS COMPARISON Palmeri M Lorenzoni V Gianardi D Furbetta N Di Franco G Guadagni S Bianchini M Asta VF Turchetti G Morelli L Palmeri, M Lorenzoni, V Gianardi, D Furbetta, N Di Franco, G Guadagni, S Bianchini, M Asta, Vf Turchetti, G Morelli, L 2020 http://hdl.handle.net/11568/1066038 unknown ispartofbook:American College of Surgeons Clinical Congress American College of Surgeons Clinical Congress http://hdl.handle.net/11568/1066038 info:eu-repo/semantics/conferenceObject 2020 ftunivpisairis 2024-03-21T19:16:38Z Aim: The aim of the present study is to address a structured cost analysis by comparing surgical outcomes and costs of robotic distal pancreatectomy (RAS) with the da Vinci Si and Xi, and with direct manual laparoscopy (DML). Methods: Data related to 66 robotic distal pancreatectomies performed at our Institute with either the da Vinci Si (Si-Rob group) or the da Vinci Xi (Xi-Rob group) from April 2010 to July 2019 and to 26 laparoscopic distal pancreatectomies (Trad-Lap group) performed between June 2004 and June 2007 were retrospectively collected. We compared these three groups by a propensity score method using age, gender, BMI and ASA risk score as matching variables. Overall costs were compared between groups using generalized linear regression model adjusting for covariates. Results: No differences were found in overall mean operative time between Xi-Rob (243 min) and Si-Rob group (246.4 min) vs Trad-Lap group 277.5 min (p=0.052 and p=0.163). Overall costs associated with Trad-Lap procedures were significantly lower than with Xi-Rob and Si-Rob groups also when adjusting for covariates (p < 0.001); excluding fixed costs, the difference between Trad-Lap and robotic groups resulted no longer statistically significant (p=0.602 and p=0.169 for Si-Rob and Xi-Rob respectively). Conclusions: RAS is more expensive than DML for distal pancreatectomy because of higher acquisition and maintenance costs. The flattening of these differences considering only the variable costs suggests a possible optimization of the cost-effectives of RAS in this setting. Conference Object DML ARPI - Archivio della Ricerca dell'Università di Pisa |
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Open Polar |
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ARPI - Archivio della Ricerca dell'Università di Pisa |
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ftunivpisairis |
language |
unknown |
description |
Aim: The aim of the present study is to address a structured cost analysis by comparing surgical outcomes and costs of robotic distal pancreatectomy (RAS) with the da Vinci Si and Xi, and with direct manual laparoscopy (DML). Methods: Data related to 66 robotic distal pancreatectomies performed at our Institute with either the da Vinci Si (Si-Rob group) or the da Vinci Xi (Xi-Rob group) from April 2010 to July 2019 and to 26 laparoscopic distal pancreatectomies (Trad-Lap group) performed between June 2004 and June 2007 were retrospectively collected. We compared these three groups by a propensity score method using age, gender, BMI and ASA risk score as matching variables. Overall costs were compared between groups using generalized linear regression model adjusting for covariates. Results: No differences were found in overall mean operative time between Xi-Rob (243 min) and Si-Rob group (246.4 min) vs Trad-Lap group 277.5 min (p=0.052 and p=0.163). Overall costs associated with Trad-Lap procedures were significantly lower than with Xi-Rob and Si-Rob groups also when adjusting for covariates (p < 0.001); excluding fixed costs, the difference between Trad-Lap and robotic groups resulted no longer statistically significant (p=0.602 and p=0.169 for Si-Rob and Xi-Rob respectively). Conclusions: RAS is more expensive than DML for distal pancreatectomy because of higher acquisition and maintenance costs. The flattening of these differences considering only the variable costs suggests a possible optimization of the cost-effectives of RAS in this setting. |
author2 |
Palmeri, M Lorenzoni, V Gianardi, D Furbetta, N Di Franco, G Guadagni, S Bianchini, M Asta, Vf Turchetti, G Morelli, L |
format |
Conference Object |
author |
Palmeri M Lorenzoni V Gianardi D Furbetta N Di Franco G Guadagni S Bianchini M Asta VF Turchetti G Morelli L |
spellingShingle |
Palmeri M Lorenzoni V Gianardi D Furbetta N Di Franco G Guadagni S Bianchini M Asta VF Turchetti G Morelli L ROBOTIC AND DIRECT MANUAL LAPAROSCOPIC DISTAL PANCREATECTOMY: A COST-ANALYSIS COMPARISON |
author_facet |
Palmeri M Lorenzoni V Gianardi D Furbetta N Di Franco G Guadagni S Bianchini M Asta VF Turchetti G Morelli L |
author_sort |
Palmeri M |
title |
ROBOTIC AND DIRECT MANUAL LAPAROSCOPIC DISTAL PANCREATECTOMY: A COST-ANALYSIS COMPARISON |
title_short |
ROBOTIC AND DIRECT MANUAL LAPAROSCOPIC DISTAL PANCREATECTOMY: A COST-ANALYSIS COMPARISON |
title_full |
ROBOTIC AND DIRECT MANUAL LAPAROSCOPIC DISTAL PANCREATECTOMY: A COST-ANALYSIS COMPARISON |
title_fullStr |
ROBOTIC AND DIRECT MANUAL LAPAROSCOPIC DISTAL PANCREATECTOMY: A COST-ANALYSIS COMPARISON |
title_full_unstemmed |
ROBOTIC AND DIRECT MANUAL LAPAROSCOPIC DISTAL PANCREATECTOMY: A COST-ANALYSIS COMPARISON |
title_sort |
robotic and direct manual laparoscopic distal pancreatectomy: a cost-analysis comparison |
publishDate |
2020 |
url |
http://hdl.handle.net/11568/1066038 |
genre |
DML |
genre_facet |
DML |
op_relation |
ispartofbook:American College of Surgeons Clinical Congress American College of Surgeons Clinical Congress http://hdl.handle.net/11568/1066038 |
_version_ |
1796308586332160000 |