• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • SAGES 2021 Annual Meeting
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2021
      • SAGES 2020
      • SAGES 2019
      • SAGES 2018
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • SAGES Logo Products
    • “Unofficial” Logo Products
  • Log In

Is Robotic Cholecystectomy Too Expensive for an Acute Care Surgery Service?

Matthew S Surrusco, MD1, Joshua Farnsworth, BS2, Xian Luo-Owen, PhD2, Esther Wu, MD2, Daniel P Srikureja, MD2, Kaushik Mukherjee, MD, MSCI, FACS2. 1University of Florida School of Medicine, 2Loma Linda University School of Medicine

OBJECTIVES: To determine if the use of the surgical robot can add value to the Acute Care Surgery service at a busy academic hospital by studying OR time, length of stay, complications, and hospital costs.

METHODS: We reviewed a prospectively collected Acute Care Surgery registry at a large (>500 bed) adult university hospital over 9 months.  Cases from two acute care surgeons with privileges for open, laparoscopic, and robotic cases were included.  Operative technique (laparoscopic versus robotic) could not be randomized as trained robotic personnel are available only on weekdays.  We collected data on demographics, indication for surgery, nutritional status, comorbidities, OR time, postoperative complications, length of stay, and costs from the day of surgery until discharge.  We analyzed our data in SPSS 22 (IBM Inc., Armonk NY) and utilized Student’s T test and Chi-Square. We also performed a linear regression analysis to determine the effect of OR time, robotic surgery, and diagnosis on operating room costs and postoperative length of stay.

RESULTS: 37 laparoscopic and 14 robotic cholecystectomies were performed.  Demographic parameters (age, gender, medical comorbidities, preoperative albumin and BMI, surgical history and smoking) were comparable.  Primary diagnosis was significantly different (Chi-square 0.05), driven by more acute cholecystitis in the laparoscopic group.  0/14 robotic cases and 5/37 (13.5%, p = 0.305) laparoscopic cases were converted to open (2 for adhesions, 2 for failure to progress, and 1 for visualization of anatomy).  There was no difference in the incidence of postoperative complications. Operative time was similar (158±38 min [robot]vs. 135±62 min [lap], p = 0.125).  There was a trend toward shorter postoperative length of stay in the robotic group (1.4±1.4 days vs. 2.4±2.6 days, p = 0.087) but this was not significant even after adjusting for OR time and diagnosis.  Robotic procedures had higher unadjusted OR costs ($3490±$934 vs. $2190±$831, p < 0.001).  After adjusting for OR time and diagnosis, robotic surgery was associated with a $980 increase in costs [95%CI $648, $1310, p < 0.001]. 

CONCLUSIONS: Robotic cholecystectomy can be safely performed on an ACS service with minimal risk of conversion.  Robotic surgery is independently associated with increased OR cost, but individual hospital systems must decide if this additional cost outweighs increased robot utilization and training benefits for physicians and staff. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 86630

Program Number: P775

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

59

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2018 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Surgery is Safer with Vaccination 1

Addressing Religious Concerns About COVID-19 Vaccine

This may be a difficult subject matter for you and your patient to talk about.  Be assured, all major organized religious groups encourage and recommend the COVID-19 vaccine. Listed below are references and websites you can direct your patient towards to help them make an informed decision with regards to their religious concerns against the […]

SAGES Statement on AAPI Violence

The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) stands in solidarity with the Asian American and Pacific Islander (AAPI) community. In the summer of 2020, SAGES released a statement condemning the violence, racism, and hatred toward the Black community in the wake of George Floyd and Breonna Taylor’s murders. It is with great sorrow […]

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
[email protected]
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2022 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2022 Society of American Gastrointestinal and Endoscopic Surgeons