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Cost assessment of robotics in gynecologic surgery: A systematic review
Author(s) -
Iavazzo Christos,
Papadopoulou Eleni K.,
Gkegkes Ioannis D.
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12507
Subject(s) - medicine , laparotomy , robotic surgery , laparoscopy , open surgery , robotics , surgery , general surgery , gynecology , artificial intelligence , robot , computer science
Aim The application of robotics is an innovation in the field of gynecologic surgery. Our objective was to evaluate the currently available literature on the cost assessment of robotic surgery of various operations in the field of gynecologic surgery. Material and Methods P ub M ed and S copus databases were systematically searched in order to retrieve the included studies in our review. Results We retrieved 23 studies on a variety of gynecologic operations. The mean cost for robotic, open and laparoscopic surgery ranged from 1731 to 48 769, 894 to 20 277 and 411 to 41 836 E uros, respectively. Operative charges, in hysterectomy, for robotic, open and laparoscopic technique ranged from 936 to 33 920, 684 to 25 616 and 858 to 25 578 E uros, respectively. In sacrocolpopexy, these costs ranged from 2067 to 7275, 2904 to 69 792 and 1482 to 2000 E uros, respectively. Non‐operative charges ranged from 467 to 39 121 E uros. The mean total costs for myomectomy ranged from 27 342 to 42 497 and 13 709 to 20 277 E uros, respectively, for the robotic and open methods, while the mean total cost of the laparoscopic technique was 26 181 E uros. Conversions to laparotomy were present in 79/36 185 (0.2%) cases of laparoscopic surgery and in 21/3345 (0.62%) cases of robotic technique. Duration of robotic, open and laparoscopic surgery ranged from 50 to 445, 83.7 to 701 and 74 to 330 min, respectively. Conclusion Robotic surgery has the potential to become cost‐effective in centers with many patients while industry competition could reduce the cost of the robotic instrumentation, making robotic technology more affordable and cost‐effective.