ArticleSurgical endoscopy2022
Operating costs, fiscal impact, value analysis and guidance for the routine use of robotic technology in abdominal surgical procedures.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Minimally Invasive Versus Open Parastomal Hernia Repair: A Comprehensive Systematic Review and Meta-Analysis.World journal of surgery · 2025Pooled it
- Efficacy and safety of The Robotic Stereotactic Assistance for intracerebral hemorrhage; A systematic review and meta-analysis.Neurosurgical review · 2025Pooled it
- Robotic surgery for inguinal and ventral hernia repair: a systematic review and meta-analysis.Surgical endoscopy · 2024Pooled it
- Robotic Appendicectomy: A review of feasibility.Sultan Qaboos University medical journal · 2023Pooled it
- First United States experience of robotic-assisted minimally invasive inguinal hernia repair using the Dexter surgical system.Surgical endoscopy · 2026Article
- National Utilization and Clinical Scenarios of Robotic Appendectomy in the United States, 2022 to 2024.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026Article
- Laparoscopic and Robotic Appendectomy: Efficiency and Cost Comparison.Journal of surgery and research · 2026Article
- Comparative analysis of laparoscopic and robotic appendectomy: a multi-hospital retrospective cohort study.Surgical endoscopy · 2026Article
- Clinical advantages of a new collaborative assistant robot (ANSUR surgical unit) in laparoscopic appendectomy and cholecystectomy.Journal of robotic surgery · 2026Article
- Review
- Is implementation of robotic-assisted procedures in acute care general surgery cost-effective?Journal of robotic surgery · 2024Review
- Article
- Cost analysis of robotic assisted general surgery cases in a single academic institution.Journal of robotic surgery · 2023Article
- Robot-assisted groin hernia repair is primarily performed by specialized surgeons: a scoping review.Journal of robotic surgery · 2023Article
- Comparison of Surgical Outcomes of Robotic versus Conventional Laparoscopic Hysterectomy of Large Uterus with Gynecologic Benign Disease.Journal of personalized medicine · 2022Article
- National epidemiologic trends (2008-2018) in the United States for the incidence and expenditures associated with incisional hernia in relation to abdominal surgery.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Article
- Energy Strategy for Sustainable Development of Rural Areas Based on the Analysis of Sustainable Digital Economy.Frontiers in psychology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study was designed to define the value, cost, and fiscal impact of robotic-assisted procedures in abdominal surgery and provide clinical guidance for its routine use.
methods34,984 patients who underwent an elective cholecystectomy, colectomy, inguinal hernia repair, hysterectomy, or appendectomy over a 24-month period were analyzed by age, BMI, risk class, operating time, LOS and readmission rate. Average Direct and Total Cost per Case (ADC, TCC) and Net Margin per Case (NM) were produced for each surgical technique, i.e., open, laparoscopic, and robotic assisted (RA).
resultsAll techniques were shown to have similar clinical outcomes. 9412 inguinal herniorrhaphy were performed (48% open with $2138 ADC, 29% laparoscopy with $3468 ADC, 23% RA with $6880 ADC); 8316 cholecystectomies (94% laparoscopy with $2846 ADC, 4.4% RA with a $7139 ADC, 16% open with a $3931 ADC); 3432 colectomies (42% open with a $12,849 ADC, 38% laparoscopy with a $10,714, 20% RA with a $15,133); 12,614 hysterectomies [42% RA with a $8213 Outpatient (OP) ADC, 39% laparoscopy $5181 OP ADC, 19% open $4894 OP ADC]. Average Global NM is - 1% for RA procedures and only positive with commercial payors.
conclusionRA techniques do not produce significant clinical enhancements than similar surgical techniques with identical outcomes while their costs are much higher. The produced value analysis does not support the routine use of RA techniques for inguinal hernia repair and cholecystectomy. RA techniques for hysterectomies and colectomies are also performed at much higher cost than open and laparoscopic techniques, should only be routinely used with appropriate clinical justification and by cost efficient surgical providers.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.