The clinical and financial impact of introducing robotic‐assisted hysterectomy in a tertiary referral center: a direct cost analysis of consecutive hysterectomies during a decade

xlomafota13 shared this article with you from Inoreader The clinical and financial impact of introducing robotic‐assisted hysterectomy in a tertiary referral center: a direct cost analysis of consecutive hysterectomies during a decade Via The International Journal of Medical Robotics and Computer Assisted Surgery Abstract Background Economic data and the clinical impact of introducing robotic-assisted hysterectomy in a European setting are scarce with conflicting findings. Methods In this retrospective cohort study, the cost and complication rate of the different approaches of hysterectomy are investigated, both benign and (pre)malignant indications were included. Results 844 patients were included: 323 (38.3%) patients underwent robotic-assisted hysterectomy (RAH), 317 (37.5%) total abdominal hysterectomy (TAH), and 204 (24.2%) total laparoscopic hysterectomy (TLH). TAH dropped from 67.2% to 25.5% of procedures, whilst RAH rose to 41.8% of cases. The total hospitalization cost was for RAH €5208.39 (± €916.91), for TAH €5846.61 (± €4464.37) and for TLH €3790.06 (± €1267.05). The postoperative complication rate of TAH (9.1%) was significantly higher in comparison with TLH and RAH (5.4% and 3.1% respectively, p=0.005). Conclusions RAH h as replaced TAH in most cases, especially for large uteri, early-stage endometrial cancer and in selected endometriosis cases, resulting in reduced morbidity with lower hospitalization costs. The indications for TLH remained, including menorrhagia, adenomyosis and persistent cervical dysplasia. This article is protected by copyright. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.