CORE
🇺🇦
make metadata, not war
Services
Services overview
Explore all CORE services
Access to raw data
API
Dataset
FastSync
Content discovery
Recommender
Discovery
OAI identifiers
OAI Resolver
Managing content
Dashboard
Bespoke contracts
Consultancy services
Support us
Support us
Membership
Sponsorship
Community governance
Advisory Board
Board of supporters
Research network
About
About us
Our mission
Team
Blog
FAQs
Contact us
Cost analysis of pediatric robot-assisted and laparoscopic pyeloplasty
Authors
Glenn M. Cannon
Daniel P. Casella
+3 more
Janelle A. Fox
Michael C. Ost
Francis X. Schneck
Publication date
1 March 2013
Publisher
Health Sciences Research Commons
Abstract
Purpose: An increasing percentage of pediatric pyeloplasties are being performed with assistance of the da Vinci® Surgical System. A review of the recent literature shows decreased operative times and length of hospital stays when robotic procedures are performed, although there are few published data comparing the cost of pediatric robotic and pure laparoscopic pyeloplasty. We reviewed a representative sample of pyeloplasties performed at our institution and performed a cost analysis. Materials and Methods: We retrospectively identified 23 robot-assisted and 23 laparoscopic pyeloplasties performed at our institution between August 2008 and April 2012. Total cost was calculated from direct and indirect costs provided by our billing department. Results: Robotic procedures were shorter than pure laparoscopic procedures (200 vs 265 minutes, p \u3c0.001) but there was no significant difference in the total cost of the 2 procedures (
15
,
337
v
s
15,337 vs
15
,
337
v
s
16,067, p \u3c0.46). When compared to laparoscopic cases, subgroup analysis demonstrated decreased operative times (140 vs 265 minutes, p \u3c0.00001) and total cost (
11
,
949
v
s
11,949 vs
11
,
949
v
s
16,067, p \u3c0.0001) in robotic cases where stents were placed in an antegrade fashion. Conclusions: With widespread use the cost of robotic instrumentation may decrease, and experience may further shorten operative times. However, it currently remains to be seen whether robotic technology will become a cost-effective replacement for pure laparoscopy in the management of pediatric ureteropelvic junction obstruction. © 2013 American Urological Association Education and Research, Inc
Similar works
Full text
Available Versions
George Washington University: Health Sciences Research Commons (HSRC)
See this paper in CORE
Go to the repository landing page
Download from data provider
oai:hsrc.himmelfarb.gwu.edu:sm...
Last time updated on 03/12/2020