Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Rare Cancers, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.
Int J Technol Assess Health Care. 2023 Jul 31;39(1):e46. doi: 10.1017/S0266462323000430.
Lateral skull base procedures, such as translabyrinthine approach (TLA), are challenging. An autonomous surgical robot might be a solution to these challenges. Our aim is to explore in an early phase the economic consequences of an autonomous surgical robot compared with conventional TLA.
An early decision analytic model was constructed in order to perform a step-wise threshold analyses and a sensitivity analysis to analyze the impact of the several factors on the incremental costs.
Using surgical robot results in incremental costs - EUR 5,562 per procedure - compared to conventional TLA. These costs are most reduced by higher number of procedures, followed by lower price of the robot, saved operation time, and reduced risk of complication, respectively.
The incremental costs of using an autonomous surgical robot can be decreased by choosing applications with a high turnover rate, a long operation time, and a high complication rate.
侧颅底手术，如经迷路入路（TLA），具有挑战性。自主手术机器人可能是解决这些挑战的一种方法。我们的目的是在早期阶段探索自主手术机器人与传统 TLA 相比的经济后果。
为了逐步进行阈值分析和敏感性分析，以分析几个因素对增量成本的影响，构建了早期决策分析模型。
与传统 TLA 相比，使用手术机器人会导致每例手术增加成本-EUR5562。通过增加手术次数、降低机器人价格、节省手术时间以及降低并发症风险，可以分别降低这些成本。
通过选择高周转率、手术时间长和高并发症率的应用，可以降低使用自主手术机器人的增量成本。
