Zobrazit v EDS

Introduction of Robotic Abdominal Wall Reconstruction Into a UK-Abdominal Wall Reconstruction Practice: Early Outcomes and Economic Analysis

Uloženo v:
Podrobná bibliografie
Název: Introduction of Robotic Abdominal Wall Reconstruction Into a UK-Abdominal Wall Reconstruction Practice: Early Outcomes and Economic Analysis
Autoři: T. L. Ward, Z. Al-Amiedy, P. Robinson, A. Sharma, S. McClean, C. J. Walsh, G. S. Simpson
Zdroj: J Abdom Wall Surg
Journal of Abdominal Wall Surgery, Vol 4 (2025)
Informace o vydavateli: Frontiers Media SA, 2025.
Rok vydání: 2025
Témata: robotic, robotic abdominal wall surgery, RC581-951, cost analysis, Rives Stoppa, Specialties of internal medicine, abdominal wall reconstruction, Health Archive
Popis: IntroductionThere is strong evidence that robotic abdominal wall reconstruction (AWR) reduces length of stay and postoperative complications. Despite this, it remains significantly limited in publicly funded healthcare systems due to reported costs and limited access to robotic surgical platforms.MethodsCases were reviewed from a prospectively maintained database of AWR patients in a single unit undergoing Robotic Rives-Stoppa repair or open Rives-Stoppa repair. A prospectively maintained database was accessed and analysed. Data analysed included demographics, comorbidities, hernia characteristics, operative times and surgical outcomes. Cost analysis was performed based on length of stay, critical care bed days, and cost of consumables.ResultsData were collected from 28 robotic Rives-Stoppa repairs and 18 open Rives-Stoppa repairs. There was no difference in operative time between the two groups (199 min vs. 186 min, p = 0.147). The anaesthetic time was shorter in the robotic group (36 min vs. 56 min, p = p = p = p = 0.407), and there were no cases of postoperative mortality. Cost analysis showed an average saving of £1,807.58 per case.ConclusionOur series demonstrates that robotic Rives-Stoppa AWR can be delivered in a safe manner with financial savings and equivalent operative time compared with open surgery.
Druh dokumentu: Article
Other literature type
ISSN: 2813-2092
DOI: 10.3389/jaws.2025.13710
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/40151491
https://doaj.org/article/55c91c01921c4d27bb9fd71801a8f681
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....001961f8a4ec988b01e807346b342229
Databáze: OpenAIRE
Popis
Abstrakt:IntroductionThere is strong evidence that robotic abdominal wall reconstruction (AWR) reduces length of stay and postoperative complications. Despite this, it remains significantly limited in publicly funded healthcare systems due to reported costs and limited access to robotic surgical platforms.MethodsCases were reviewed from a prospectively maintained database of AWR patients in a single unit undergoing Robotic Rives-Stoppa repair or open Rives-Stoppa repair. A prospectively maintained database was accessed and analysed. Data analysed included demographics, comorbidities, hernia characteristics, operative times and surgical outcomes. Cost analysis was performed based on length of stay, critical care bed days, and cost of consumables.ResultsData were collected from 28 robotic Rives-Stoppa repairs and 18 open Rives-Stoppa repairs. There was no difference in operative time between the two groups (199 min vs. 186 min, p = 0.147). The anaesthetic time was shorter in the robotic group (36 min vs. 56 min, p = p = p = p = 0.407), and there were no cases of postoperative mortality. Cost analysis showed an average saving of £1,807.58 per case.ConclusionOur series demonstrates that robotic Rives-Stoppa AWR can be delivered in a safe manner with financial savings and equivalent operative time compared with open surgery.
ISSN:28132092
DOI:10.3389/jaws.2025.13710