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01-08-2019 | Colectomy | Letter to the Editor

Costs–benefits of robot-assisted colorectal surgery: a different perspective

Authors: Matteo Bianchini, Simone Guadagni, Luca Morelli

Published in: Journal of Robotic Surgery | Issue 4/2019

Abstract

The costs of robot-assisted surgery (RAS) still represent a critical issue. Kulaylat et al. reported a propensity-matched study to compare the outcomes of colorectal surgery between a robotic and a laparoscopic group, concluding that RAS was burdened by higher costs. However, authors did not mention what da Vinci system, Si or Xi, they used and this could be crucial, as recently data published by our group on rectal resections showed that the use of the da Vinci Xi and the surgeon’s increased experience could improve the results and significantly reduce the costs of RAS.

Kulaylat AS, Mirkin KA, Puleo FJ, Hollenbeak CS, Messaris E (2018) Robotic versus standard laparoscopic elective colectomy: where are the benefits? J Surg Res 224:72–78CrossRefPubMed

Morelli L, Guadagni S, Lorenzoni V, Di Franco G, Cobuccio L, Palmeri M, Caprili G, D’Isidoro C, Moglia A, Ferrari V, Di Candio G, Mosca F, Turchetti G (2016) Robot-assisted versus laparoscopic rectal resection for cancer in a single surgeon’s experience: a cost analysis covering the initial 50 robotic cases with the da Vinci Si. Int J Colorectal Dis 31(9):1639–1648. https://doi.org/10.1007/s00384-016-2631-5 (Epub 2016 Jul 31) CrossRefPubMed

Morelli L, Guadagni S, Di Franco G, Palmeri M, Caprili G, D’Isidoro C, Cobuccio L, Marciano E, Di Candio G, Mosca F. Use of the new da Vinci Xi^® during robotic rectal resection for cancer: a pilot matched-case comparison with the da Vinci Si^®. Int J Med Robot. 2017 13:1. https://doi.org/10.1002/rcs.1728 (Epub 2016 Jan 25)

Morelli L, Di Franco G, Lorenzoni V, Guadagni S, Palmeri M, Furbetta N, Gianardi D, Bianchini M, Caprili G, Mosca F, Turchetti G, Cuschieri A. Structured cost analysis of robotic TME resection for rectal cancer: a comparison between the da Vinci Si and Xi in a single surgeon’s experience. Surg Endosc. 2018. https://doi.org/10.1007/s00464-018-6465-9 (Epub ahead of print) CrossRefPubMed

Title: Costs–benefits of robot-assisted colorectal surgery: a different perspective
Authors: Matteo Bianchini
Simone Guadagni
Luca Morelli
Publication date: 01-08-2019
Publisher: Springer London
Keywords: Colectomy
Rectal Extirpation
Colectomy
Rectal Extirpation
Published in: Journal of Robotic Surgery / Issue 4/2019
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI: https://doi.org/10.1007/s11701-019-00936-z

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Costs–benefits of robot-assisted colorectal surgery: a different perspective

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