Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
, 32 (10), 1423-1429

Robotic Versus Laparoscopic Surgery for Rectal Cancer: A Comparative Study of Clinical Outcomes and Costs

Affiliations
Observational Study

Robotic Versus Laparoscopic Surgery for Rectal Cancer: A Comparative Study of Clinical Outcomes and Costs

Benedetto Ielpo et al. Int J Colorectal Dis.

Abstract

Purpose: The costs involved in performing robotic surgery present a critical issue which has not been well addressed yet. The aims of this study are to compare the clinical outcomes and cost differences of robotic versus laparoscopic surgery in the treatment of rectal cancer and to conduct a literature review of the cost analysis.

Methods: This is an observational, comparative study whereby data were abstracted from a retrospective database of patients who underwent laparoscopic and robotic rectal resection from October 2010 to March 2017, at Sanchinarro University Hospital, Madrid. An independent company performed the financial analysis, and fixed costs were excluded.

Results: A total of 86 robotic and 112 laparoscopic rectal resections were included. The mean operative time was significantly lower in the laparoscopic approach (336 versus 283 min; p = 0.001). The main pre-operative data, overall morbidity, hospital stay and oncological outcomes were similar in both groups, except for the readmission rate (robotic: 5.8%, laparoscopic: 11.6%; p = 0.001). The mean operative costs were higher for robotic surgery (4285.16 versus 3506.11€; p = 0.04); however, the mean overall costs were similar (7279.31€ for robotic and 6879.8€ for the laparoscopic approach; p = 0.44). We found four studies reporting costs, three comparing robotic versus laparoscopy costs, with all of them reporting a higher overall cost for the robotic rectal resection.

Conclusion: Robotic rectal resection has similar clinical outcomes to that of the conventional laparoscopic approach. Despite the higher operative costs of robotic rectal resection, overall mean costs were similar in our series.

Keywords: Cost; Rectal resection; Robotic surgery.

Similar articles

See all similar articles

Cited by 3 PubMed Central articles

References

    1. Am J Clin Oncol. 2014 Apr;37(2):117-21 - PubMed
    1. Int J Colorectal Dis. 2016 Sep;31(9):1639-48 - PubMed
    1. Surg Laparosc Endosc Percutan Tech. 2013 Jun;23(3):316-9 - PubMed
    1. Surg Laparosc Endosc Percutan Tech. 2014 Oct;24(5):452-6 - PubMed
    1. Surg Endosc. 2014 Jan;28(1):212-21 - PubMed

Publication types

LinkOut - more resources

Feedback