Department of Surgery, New York Presbyterian Hospital- Weill Cornell Medicine, 525 East 68th Street, New York, NY, 10065, USA.
Department of Surgery, Valley Medical Group, Ridgewood, NJ, 07450, USA.
J Robot Surg. 2022 Apr;16(2):377-382. doi: 10.1007/s11701-021-01250-3. Epub 2021 May 17.
Equipment expenses and operating times can lead to higher costs with robotic surgery. We compared the cost-effectiveness of 2- vs. 3-instrument (2i vs. 3i) approach to robotic transabdominal preperitoneal inguinal hernia repair. We conducted a retrospective study of 172 patients, with 86 patients in each group. Procedure cost, operative time, morbidity, length of stay, readmission rate, and hernia recurrence at 90 days were compared. Statistical significance was assigned to p < 0.05. No significant differences in preoperative variables nor in postoperative outcomes were identified. Mean operative time was 6 min longer in the 2i group and this approach cost $300 less. The 2i approach was cost-effective for operating room (OR) costs of less than $50 per minute. Surgeon efficiency and OR dollar-per-minute value influence the potential for cost savings with fewer instruments in robotic herniorrhaphy. There is no difference in outcomes when fewer instruments are used.
机器人手术的设备费用和运行时间可能会导致更高的成本。我们比较了 2 器械（2i）与 3 器械（3i）入路机器人经腹腹膜前腹股沟疝修补术的成本效益。我们对 172 例患者进行了回顾性研究，每组 86 例。比较了手术费用、手术时间、发病率、住院时间、再入院率和 90 天内的疝复发率。统计学意义赋值为 p < 0.05。术前变量和术后结果均无显著差异。2i 组的平均手术时间长 6 分钟，该方法的成本降低 300 美元。当每台手术间的成本低于 50 美元时，2i 方法在手术室（OR）成本方面具有成本效益。手术医生的效率和每台手术间的美元价值影响使用更少器械进行机器人疝修补术节省成本的潜力。使用更少的器械不会导致结果的差异。
