ArticleSurgical endoscopy2019
Comparison of outcome and cost between the open, laparoscopic, and robotic surgical treatments for colon cancer: a propensity score-matched analysis using nationwide hospital record database.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Robotic and laparoscopic minimally invasive surgery for colorectal cancer in Africa: an outcome comparison endorsed by the Nigerian society for colorectal disorders.Surgical endoscopy · 2025Pooled it
- Robotic-assisted versus laparoscopic living donor nephrectomy for renal transplantation: a systematic review and meta-analysis.Annals of the Royal College of Surgeons of England · 2023Pooled it
- Comparison of efficacy of robotic surgery, laparoscopy, and laparotomy in the treatment of ovarian cancer: a meta-analysis.World journal of surgical oncology · 2019Pooled it
- Article
- Global Evolution of Robotic Colorectal Surgery: Lessons from Hong Kong's Innovation and Implementation.Cancers · 2026Review
- Allowable robot-related material cost as a contribution margin threshold for financial sustainability of robot-assisted urologic surgery.Journal of robotic surgery · 2026Article
- Interpretable machine learning enables early identification of financial risk and resource optimization in colorectal cancer surgery.Frontiers in public health · 2026Article
- Robotic Surgical Management of Complicated Diverticulitis.Current trauma reports · 2025Review
- Potentially Avoidable Admissions and Prolonged Hospitalization in Patients with Suspected Colon Cancer.Annals of surgical oncology · 2023Article
- Body mass index-based predictions and personalized clinical strategies for colorectal cancer in the context of PPPM.The EPMA journal · 2022Review
- Comparison of open, laparoscopic, and robotic left colectomy for radical treatment of colon cancer: a retrospective analysis in a consecutive series of 211 patients.World journal of surgical oncology · 2022Article
- All-cause 30- and 90-day inpatient readmission costs associated with 4 minimally invasive colon surgery approaches: A propensity-matched analysis using Medicare and commercial claims data.Surgery open science · 2022Article
- Comparison of outcome and costs of robotic and laparoscopic right hemicolectomies.Journal of robotic surgery · 2022Article
- Evaluation of the learning curve for robotic single-anastomosis duodenal-ileal bypass with sleeve gastrectomy.Frontiers in surgery · 2022Article
- The art of robotic colonic resection: a review of progress in the past 5 years.Updates in surgery · 2021Review
- The hospital costs of complications following colonic resection surgery: A retrospective cohort study.Annals of medicine and surgery (2012) · 2020Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are limited studies that compare the cost and outcome of robotic-assisted surgery to open and laparoscopic surgery for colon cancer treatment. We aimed to compare the three surgical modalities for colon cancer treatment.
methodsWe performed a cohort study using the population-based Nationwide Inpatient Sample database. Patients with a primary diagnosis of colon cancer who underwent robotic, laparoscopic, or open surgeries between 2008 and 2014 were eligible for enrollment. We compared in-hospital mortality, complications, length of hospital stay, and cost for patients undergoing one of these three procedures using a multivariate adjusted logistic regression analysis and propensity score matching.
resultsOf the 531,536 patients undergoing surgical treatment for colon cancer during the study period, 348,645 (65.6%) patients underwent open surgeries, 174,748 (32.9%) underwent laparoscopic surgeries, and 8143 (1.5%) underwent robotic surgeries. In-hospital mortality, length of hospital stay, wound complications, general medical complications, general surgical complications, and costs of the three surgical treatment modalities. Compared to those undergoing laparoscopic surgery, patients undergoing open surgery had a higher mortality rate (OR 2.98, 95% CI 2.61-3.40), more general medical complications (OR 1.77, 95% CI 1.67-1.87), a longer length of hospital stay (6.60 vs. 4.36 days), and higher total cost ($18,541 vs. $14,487) in the propensity score matched cohort. Mortality rate and general medical complications were equivalent in the laparoscopic and robotic surgery groups, but the median cost was lower in the laparoscopic group ($14641 vs. $16,628 USD).
conclusionsLaparoscopic colon cancer surgery was associated with a favourable short-term outcome and lower cost compared with open surgery. Robot-assisted surgery had comparable outcomes but higher cost as compared to laparoscopic surgery.
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