Dennis T, de Mendonça C, Phalippou J, Collinet P, Boulanger L, Weingertner F, Leblanc E, Narducci F
Clinique de gynécologie, hôpital Jeanne-de-Flandre, centre hospitalier régional et universitaire (CHRU) de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.
Gynecol Obstet Fertil. 2012 Feb;40(2):77-83. doi: 10.1016/j.gyobfe.2011.09.010. Epub 2012 Jan 16.
The study purpose was to compare the costs among robotic, laparoscopic and open radical hysterectomy for cervical cancer.
Thirty-seven patients underwent robotic radical hysterectomy for cervical cancer. Cases were performed by three surgeons, at two institutions, and were retrospectively reviewed to perform a cost comparison between all three modalities. We included costs for edible materials in anesthesia and surgery, but costs for staff and indirect financial expenses were excluded. Those data are compared to open and laparoscopic radical hysterectomy data.
The average cost for robotic assistance presented a surplus of 1796 euros compare to laparotomy and 1313 euros compare to standard laparoscopy in 2008, and 1320 and 837 euros respectively.
The average cost for radical hysterectomy was highest for robotic, followed by standard laparoscopy, and least for laparotomy. However, over only 2 years of use, this difference tends to decrease. Medico-economic impact is the main restraint for robotic assistance development, and needs to be assessed permanently.
本研究旨在比较机器人辅助、腹腔镜和开放性宫颈癌根治术的成本。
37例患者接受了机器人辅助宫颈癌根治术。手术由三名外科医生在两家机构进行，并进行回顾性分析以对三种手术方式进行成本比较。我们纳入了麻醉和手术中消耗材料的成本，但排除了工作人员成本和间接财务费用。这些数据与开放性和腹腔镜宫颈癌根治术的数据进行比较。
2008年，机器人辅助手术的平均成本与开腹手术相比多出1796欧元，与标准腹腔镜手术相比多出1313欧元，而到了2010年，这两个差值分别为1320欧元和837欧元。
宫颈癌根治术的平均成本以机器人辅助手术最高，其次是标准腹腔镜手术，开腹手术最低。然而，仅在使用两年后，这种差异就趋于减小。医疗经济影响是机器人辅助技术发展的主要制约因素，需要持续评估。
Zotero 插件