A population-based study of 90-day hospital cost and utilization associated with robotic surgery in colon and rectal cancer
Journal of Surgical Research Dec 15, 2019
Justiniano CF, Becerra AZ, Xu Z, et al. - Researchers sought to ascertain the role of robotic surgery in colorectal cancer via assessing 12,218 patients with stage I-III colorectal cancer resections from 2008 to 2014 in New York State. Cost and utilization were compared between robotic, laparoscopic, and open resections using propensity score-adjusted negative binomial models. the analysis revealed no achievement of hospital cost-benefit after 90 d in correlation to performing robotic and laparoscopic colorectal cancer resections vs open resections however these were associated with decreased hospital utilization. They commonly observed conversion to open resection with the robotic-to-open conversion rate of 3%, and the laparoscopic-to-open conversion rate of 13%. Efforts should be made to prevent these conversions.
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