乙状结肠和直肠乙状结肠癌的纯机器人手术与混合机器人手术的综合收入比较。
Comprehensive revenue comparison of pure robotic vs. hybrid robotic surgery for sigmoid colon and rectosigmoid cancer.
作者信息
Fukuda Toshiyuki, Numata Masakatsu, Harada Tatsunosuke, Izukawa Shota, Atsumi Yosuke, Kazama Keisuke, Suwa Yusuke, Sato Syo, Kumamoto Takafumi, Sato Tsutomu, Saito Aya
机构信息
Gastroenterological Center, Yokohama City University Medical Center, 4-57, Urafune-Cho, Minami-Ku, Yokohama-City, Kanagawa, 232-0024, Japan.
Department of Surgery, Yokohama City University, 3-9, Fukuura, Kanazawa-Ku, Yokohama-City, Kanagawa, 236-0004, Japan.
出版信息
Surg Today. 2025 Jul 15. doi: 10.1007/s00595-025-03097-9.
PURPOSE
Robotic surgery (RS) in colorectal procedures is growing but remains costly. This study evaluated the cost-saving potential of hybrid robotic surgery (hybrid RS), which integrates laparoscopic devices, compared to conventional RS (pure RS).
METHODS
This single-center retrospective study (2022-2024) compared pure RS and hybrid RS for sigmoid and rectosigmoid cancers. Propensity score matching minimizes bias. Total revenue is calculated as the total fee minus the total cost.
RESULTS
After matching, 20 patients (10 per group) were analyzed. Hybrid RS improved total revenue ($3515.15 vs. $3229.33) by reducing the total cost ($3652.45 vs. $4061.33), mainly through lower material costs for staplers and ultrasonic devices. The operative time was shorter, and the safety and pathological outcomes were comparable.
CONCLUSIONS
Hybrid RS enhances cost efficiency by substituting expensive devices with affordable alternatives, supporting wider adoption of robotic surgery. Further validation using larger studies is necessary.
目的
结直肠手术中的机器人手术（RS）正在增加，但成本仍然很高。本研究评估了与传统机器人手术（纯RS）相比，集成腹腔镜设备的混合机器人手术（混合RS）的成本节约潜力。
方法
这项单中心回顾性研究（2022 - 2024年）比较了纯RS和混合RS治疗乙状结肠和直肠乙状结肠癌症的情况。倾向评分匹配可最大限度地减少偏差。总收入计算为总费用减去总成本。
结果
匹配后，分析了20例患者（每组10例）。混合RS通过降低总成本（3652.45美元对4061.33美元）提高了总收入（3515.15美元对3229.33美元），主要是通过降低吻合器和超声设备的材料成本。手术时间更短，安全性和病理结果相当。
结论
混合RS通过用价格合理的替代品替代昂贵设备提高了成本效益，支持机器人手术更广泛的应用。有必要使用更大规模的研究进行进一步验证。
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