单中心机器人辅助袖状胃切除术（R-SG）与腹腔镜辅助袖状胃切除术（L-SG）的成本分析：破除迷思！
Cost analysis of robotic sleeve gastrectomy (R-SG) compared with laparoscopic sleeve gastrectomy (L-SG) in a single academic center: debunking a myth!
机构信息
St. Luke's University Health Network, Allentown, Pennsylvania; Temple University/St Luke's University Health Network, School of Medicine, Allentown, Pennsylvania.
Temple University/St Luke's University Health Network, School of Medicine, Allentown, Pennsylvania.
出版信息
Surg Obes Relat Dis. 2019 May;15(5):675-679. doi: 10.1016/j.soard.2019.02.012. Epub 2019 Mar 20.
BACKGROUND
Although use of the da Vinci robotic platform in bariatric surgery is gaining momentum, there are financial concerns.
OBJECTIVES
Our retrospective study evaluated the cost of robotically assisted sleeve gastrectomy (R-SG) versus conventional laparoscopic sleeve gastrectomy (L-SG).
SETTING
Center of Excellence bariatric surgery center in Allentown, Pennsylvania.
METHODS
We analyzed consecutive patients who underwent primary R-SG and compared them with L-SG patients. Primary outcomes were overall cost for length of stay, operating time, and supplies. Secondary outcomes were 30-day complications, reoperations, and readmissions.
RESULTS
We had no adverse events in either group. The overall cost for R-SG and L-SG was not statistically different (mean total cost for R-SG and L-SG was $5308.99 and $4918.88, respectively). Operating time cost was significantly higher for R-SG compared with L-SG ($1340 versus $112 for R-SG and L-SG, respectively). R-SG had a shorter length of stay compared with L-SG (1.4 versus 1.5 d, respectively).
CONCLUSIONS
Our study revealed no difference in cost R-SG and L-SG, with a trend toward shorter length of stay for R-SG over time.
背景
虽然达芬奇机器人平台在减重手术中的应用越来越广泛，但仍存在财务方面的担忧。
目的
本回顾性研究旨在评估机器人辅助袖状胃切除术（R-SG）与传统腹腔镜袖状胃切除术（L-SG）的成本。
地点
宾夕法尼亚州阿伦敦的卓越减重手术中心。
方法
我们分析了接受原发性 R-SG 的连续患者，并将其与接受 L-SG 的患者进行比较。主要结果是总住院费用、手术时间和手术耗材的总成本。次要结果是 30 天内的并发症、再次手术和再次入院。
结果
两组均未发生不良事件。R-SG 和 L-SG 的总费用无统计学差异（R-SG 和 L-SG 的总费用平均值分别为 5308.99 美元和 4918.88 美元）。与 L-SG 相比，R-SG 的手术时间成本显著更高（R-SG 和 L-SG 分别为 1340 美元和 112 美元）。R-SG 的住院时间比 L-SG 短（分别为 1.4 天和 1.5 天）。
结论
我们的研究表明，R-SG 和 L-SG 的成本没有差异，R-SG 的住院时间随着时间的推移有缩短的趋势。
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