机器人与腹腔镜胰体尾切除术的临床疗效比较：一项成本分析研究。
Robotic versus laparoscopic distal pancreatectomy: A comparative study of clinical outcomes and costs analysis.
机构信息
General Surgery Department, Sanchinarro Hospital, San Pablo University of Madrid, Spain.
General Surgery Department, Sanchinarro Hospital, San Pablo University of Madrid, Spain.
出版信息
Int J Surg. 2017 Dec;48:300-304. doi: 10.1016/j.ijsu.2017.10.075. Epub 2017 Nov 6.
BACKGROUND
The robotic surgery cost presents a critical issue which has not been well addressed yet. This study aims to compare the clinical outcomes and cost differences of robotic distal pancreatectomy (RDP) versus laparoscopic distal pancreatectomy (LDP).
METHODS
Data were abstracted prospectively from 2011 to 2017. An independent company performed the financial analysis.
RESULTS
A total of 28 RDP and 26 LDP were included. The mean operative time was significantly lower in the LDP (294 vs 241 min; p = 0.02). The main intra and post-operative data were similar, except for the conversion rate (RDP: 3.6% vs LDP: 19.2%; p = 0.04) and hospital stay (RDP: 8.9 vs LDP 13.1 days; p = 0.04). The mean total costs were similar in both groups (RDP: 9198.64 € vs LDP: 9399.74 €; p > 0.5).
CONCLUSIONS
RDP showed lower conversion rate and shorter hospital stay than LDP at the price of longer operative time. RDP is financially comparable to LDP.
背景
机器人手术的成本是一个尚未得到很好解决的关键问题。本研究旨在比较机器人胰体尾切除术（RDP）与腹腔镜胰体尾切除术（LDP）的临床结果和成本差异。
方法
数据从 2011 年至 2017 年前瞻性提取。一家独立公司进行了财务分析。
结果
共纳入 28 例 RDP 和 26 例 LDP。LDP 的平均手术时间明显更短（294 与 241 分钟；p=0.02）。主要的围手术期数据相似，除了中转率（RDP：3.6% vs LDP：19.2%；p=0.04）和住院时间（RDP：8.9 与 LDP：13.1 天；p=0.04）。两组的总费用相似（RDP：9198.64 欧元 vs LDP：9399.74 欧元；p>0.5）。
结论
RDP 与 LDP 相比，手术时间更长，但中转率和住院时间更短。RDP 在经济上与 LDP 相当。
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