Similar hospital profits with robotic-assisted paraesophageal hiatal hernia repair, despite higher or supply costs

医学 裂孔疝 腹部外科 腹腔镜检查 肝病学 普通外科 机械人手术 外科
作者
Andrew Lekarczyk,Hana Sinha,Danielle Dvir,Joshua Goyert,Austin Airhart,Rishindra M. Reddy
出处
期刊:Surgical Endoscopy and Other Interventional Techniques [Springer Nature]
标识
DOI:10.1007/s00464-022-09513-2
摘要

IntroductionRobotic-assisted laparoscopic surgery has emerged as an alternative to traditional laparoscopy and may offer some clinical benefits when performing complex hiatal hernia repairs. Many institutions may choose to not invest in robotic surgery because of perceived higher costs, and when they already have proficient laparoscopic surgeons. We hypothesized that the robotic approach would yield lower profits overall due to higher supply costs, while offering comparable outcomes to the traditional laparoscopic approach.MethodsFinancial and outcomes data from a single quaternary academic center was retrospectively reviewed from a prospectively collected database from July 2020 to May 2021. Laparoscopic hiatal hernia repairs and robotic-assisted repairs were compared for metrics including length of stay, operative time, hospital and supply cost, payments, and profits. Metrics of these two groups were compared using t-test analyses with significance set to p < 0.05.ResultsSeventy-three patients were included with 31 in the robotic group (42.5%) and 42 in the laparoscopic group (57.5%). There were no significant differences in length of stay (robotic mean 2.0 days, laparoscopic 2.55 days, p = 0.09) or operative time (257.6 min vs 256.7 min, p = 0.48) between the two approaches. The robotic approach was associated with higher supply costs ($2,655 vs $2,028, p < 0.001) and patient charges ($63,997 vs $56,276, p < 0.05). Despite higher costs associated with robotics, hospital profits were not different between the two groups ($7,462 vs $7,939, p = 0.42).ConclusionDespite higher supply costs and charges for robotic-assisted hiatal hernia repair, hospital profits were similar when comparing robotic and laparoscopic approaches. Short-term clinical outcomes were also similar. Programs should do their own analysis to understand their individual cost issues.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
白昕宇发布了新的文献求助10
刚刚
叶子发布了新的文献求助10
1秒前
anqi完成签到,获得积分10
1秒前
空古悠浪发布了新的文献求助10
1秒前
丘比特应助跑江湖的海采纳,获得20
1秒前
gxmu6322完成签到,获得积分10
2秒前
田様应助科研通管家采纳,获得30
2秒前
传奇3应助科研通管家采纳,获得10
2秒前
2秒前
2秒前
隐形曼青应助科研通管家采纳,获得10
2秒前
2秒前
小二郎应助科研通管家采纳,获得30
2秒前
2秒前
烟花应助科研通管家采纳,获得10
2秒前
2秒前
3秒前
香蕉觅云应助科研通管家采纳,获得10
3秒前
深情安青应助科研通管家采纳,获得10
3秒前
搜集达人应助科研通管家采纳,获得10
3秒前
爆米花应助科研通管家采纳,获得30
3秒前
orixero应助苗条从雪采纳,获得10
3秒前
打打应助ZZZZZZ采纳,获得10
3秒前
加油努力完成签到,获得积分10
4秒前
射干鸢尾发布了新的文献求助30
4秒前
5秒前
科研通AI2S应助ironsilica采纳,获得10
5秒前
金金发布了新的文献求助10
6秒前
Dr干嘛啦完成签到,获得积分10
7秒前
公孙玲珑发布了新的文献求助10
7秒前
叶子完成签到,获得积分10
7秒前
阿沉沉给阿沉沉的求助进行了留言
7秒前
8秒前
9秒前
香蕉觅云应助rrgogo采纳,获得10
10秒前
啦啦啦完成签到,获得积分10
11秒前
11秒前
11秒前
jjjwln完成签到,获得积分10
12秒前
12秒前
高分求助中
Heun’s Differential Equations 600
《Fundamentals of Power Supply Design》Robert A. Mammano 510
High Wire: How China Regulates Big Tech and Governs Its Economy 260
lingnan science journal vol. 16 250
The philosophy of sports medicine care: an historical review 250
A posteriori勾配制限手法「ポストリミタ」と界面捕獲法THINCを組み合わせた連続・不連続流れを高解像するMUSCLタイプの解法 210
Algorithmic Learning in a Random World 200
热门求助领域 (近24小时)
化学 材料科学 医学 生物 有机化学 工程类 生物化学 纳米技术 物理 内科学 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 电极 光电子学 量子力学
热门帖子
关注 科研通微信公众号,转发送积分 2250836
求助须知:如何正确求助?哪些是违规求助? 1899633
关于积分的说明 4740720
捐赠科研通 1689509
什么是DOI,文献DOI怎么找? 856615
版权声明 545449
科研通“疑难数据库(出版商)”最低求助积分说明 453552