ArticleJournal of laparoendoscopic & advanced surgical techniques. Part A2017
Financial Impact of the Robotic Approach in Liver Surgery: A Comparative Study of Clinical Outcomes and Costs Between the Robotic and Open Technique in a Single Institution.
Article in Journal of laparoendoscopic & advanced surgical techniques. Part A, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 8 of them syntheses that pooled it.
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Who cites it
50 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Economic impact of robotic liver resection: systematic review of costs, resource utilization, and hospital stay.Surgical endoscopy · 2026Pooled it
- Comparison of efficacy between robotic and open hepatectomy: a systematic review and meta-analysis of propensity score-matched studies.Journal of robotic surgery · 2025Pooled it
- A meta-analysis between robotic hepatectomy and conventional open hepatectomy.Journal of robotic surgery · 2024Pooled it
- Short-Term Outcomes After Robotic Versus Open Liver Resection: A Systematic Review and Meta-analysis.Journal of gastrointestinal cancer · 2023Pooled it
- State of the art in robotic liver surgery: a meta-analysis.Updates in surgery · 2021Pooled it
- Economic analysis of open versus laparoscopic versus robotic hepatectomy: a systematic review and meta-analysis.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Pooled it
- Microwave ablation compared with hepatic resection for the treatment of hepatocellular carcinoma and liver metastases: a systematic review and meta-analysis.World journal of surgical oncology · 2019Pooled it
- Comparison between robotic and open liver resection: a systematic review and meta-analysis of short-term outcomes.Updates in surgery · 2019Pooled it
- Internal validation of the Tampa Robotic Difficulty Scoring System: real-time assessment of the novel robotic scoring system in predicting financial costs of hepatectomy.Surgical endoscopy · 2026Article
- Robotic-assisted donor and recipient hepatectomy in liver transplantation: An umbrella review of clinical outcomes, surgical performance, and cost-effectiveness.World journal of transplantation · 2026Article
- A swine model for surgical training in various types of robotic liver resection with surgical videos.Journal of robotic surgery · 2025Article
- Implications of robotic platforms for repeat hepatectomies: a propensity score matched study of clinical outcomes.Updates in surgery · 2025Article
- Internal validation of the Tampa Robotic Difficulty Scoring System: real-time assessment of the novel robotic scoring system in predicting clinical outcomes after hepatectomy.Surgical endoscopy · 2024Article
- Review
- Advancing minimally invasive hepato-pancreato-biliary surgery: barriers to adoption and equitable access.Surgical endoscopy · 2024Article
- Efficacy and safety of robotic liver surgery for the elderly: A propensity-score matched analysis of short-term outcomes with open liver surgery at a single center in Denmark.Journal of hepato-biliary-pancreatic sciences · 2024Article
- Emergency robotic surgery: the experience of a single center and review of the literature.World journal of emergency surgery : WJES · 2024Review
- Review
- Review
- Evaluation of the economic impact of the robotic approach in major and postero-superior segment liver resections: a multicenter retrospective analysis.Hepatobiliary surgery and nutrition · 2024Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOne of the perceived major drawbacks of minimally invasive techniques has always been its cost. This is especially true for the robotic approach and is one of the main reasons that has prevented its wider acceptance among hospitals and surgeons. The aim of our study was to evaluate the clinical outcomes and economic impact of robotic and open liver surgery in a single institution.
methodsSixty-eight robotic and 55 open hepatectomies were performed at our institution between January 1, 2009 and December 31, 2013. Demographics, perioperative data, and postoperative outcomes were collected and compared between the two groups. An independent company performed the financial analysis. The economic parameters comprised direct variable costs, direct fixed costs, and indirect costs.
resultsMean estimated blood loss was significantly less in the robotic group (438 versus 727.8 mL; P = .038). Overall morbidity was significantly lower in the robotic group (22% versus 40%; P = .047). Clavien III/IV complications were also lower, with 4.4% in the robotic versus 16.3% in the open group (P = .043). The length of stay in the intensive care unit (ICU) was shorter for patients who underwent a robotic procedure (2.1 versus 3.3 days; P = .004). The average total cost, including readmissions, was $37,518 for robotic surgery and $41,948 for open technique.
conclusionsRobotic liver resections had less overall morbidity, ICU, and hospital stay. This translates into decreased average costs for robotic surgery. These procedures are financially comparable to open resections and do not represent a financial burden to the hospital.
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