Semin Plast Surg 2023; 37(03): 223-228
DOI: 10.1055/s-0043-1771234
Review Article

Robotic Surgery and Hospital Reimbursement

Nicholas H. Yim
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Jacob McCarter
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Tareck Haykal
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Ali M. Aral
1   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
2   Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Jessie Z. Yu
3   Department of Plastic Surgery at The University of Texas, MD Anderson, Houston, Texas
,
Edward Reece
4   Division of Plastic and Reconstructive Surgery at Mayo Clinic in Arizona, Phoenix, Arizona
,
Sebastian Winocour
3   Department of Plastic Surgery at The University of Texas, MD Anderson, Houston, Texas
› Author Affiliations
Funding None.

Abstract

The field of plastic surgery remains at the forefront of technological and surgical innovation. However, the promising applications of robotics in plastic surgery must be thoughtfully balanced with hospital finances and reimbursements. Robotic systems have been studied extensively across multiple surgical disciplines and across diverse health care systems. The results show that there may be equal or better patient outcomes than alternatives. In an era where fiscal responsibility in health care is a top priority, thoughtful budgeting and spending must be considered and revisited frequently to attain sustainable organizational models that ensure appropriate use of robotic technology.



Publication History

Article published online:
03 August 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Ismail I, Wolff S, Gronfier A, Mutter D, Swanström LL. A cost evaluation methodology for surgical technologies. Surg Endosc 2015; 29 (08) 2423-2432
  • 2 Ielpo B, Vincente E, Quijano Y. et al. An organizational model to improve the robotic system among general surgeons. G Chir 2014; 35 (1–2): 52-55
  • 3 Mahida JB, Cooper JN, Herz D. et al. Utilization and costs associated with robotic surgery in children. J Surg Res 2015; 199 (01) 169-176
  • 4 Boia ES, David VL. The financial burden of setting up a pediatric robotic surgery program. Medicina (Kaunas) 2019; 55 (11) 739
  • 5 Moldes JM, de Badiola FI, Vagni RL. et al. Pediatric robotic surgery in South America: advantages and difficulties in program implementation. Front Pediatr 2019; 7: 94
  • 6 Mehaffey JH, Michaels AD, Mullen MG. et al. Adoption of robotics in a general surgery residency program: at what cost?. J Surg Res 2017; 213: 269-273
  • 7 Worrell SG, Dedhia P, Gilbert C. et al. The cost and quality of life outcomes in developing a robotic lobectomy program. J Robot Surg 2019; 13 (02) 239-243
  • 8 Novellis P, Alloisio M, Vanni E, Bottoni E, Cariboni U, Veronesi G. Robotic lung cancer surgery: review of experience and costs. J Vis Surg 2017; 3: 39
  • 9 Abbas A, Bakhos C, Petrov R, Kaiser L. Financial impact of adapting robotics to a thoracic practice in an academic institution. J Thorac Dis 2020; 12 (02) 89-96
  • 10 Stewart C, Wong P, Warner S. et al. Robotic minor hepatectomy: optimizing outcomes and cost of care. HPB (Oxford) 2021; 23 (05) 700-706
  • 11 Sham JG, Richards MK, Seo YD, Pillarisetty VG, Yeung RS, Park JO. Efficacy and cost of robotic hepatectomy: is the robot cost-prohibitive?. J Robot Surg 2016; 10 (04) 307-313
  • 12 Kirks RC, Lorimer PD, Fruscione M. et al. Robotic longitudinal pancreaticojejunostomy for chronic pancreatitis: comparison of clinical outcomes and cost to the open approach. Int J Med Robot 2017; 13 (03) e1832
  • 13 Higgins RM, Frelich MJ, Bosler ME, Gould JC. Cost analysis of robotic versus laparoscopic general surgery procedures. Surg Endosc 2017; 31 (01) 185-192
  • 14 Strosberg DS, Nguyen MC, Muscarella II P, Narula VK. A retrospective comparison of robotic cholecystectomy versus laparoscopic cholecystectomy: operative outcomes and cost analysis. Surg Endosc 2017; 31 (03) 1436-1441
  • 15 Hagen ME, Balaphas A, Podetta M. et al. Robotic single-site versus multiport laparoscopic cholecystectomy: a case-matched analysis of short- and long-term costs. Surg Endosc 2018; 32 (03) 1550-1555
  • 16 Shapera E, Sucandy I, Syblis C. et al. Cost analysis of robotic versus open hepatectomy: is the robotic platform more expensive?. J Robot Surg 2022; 16 (06) 1409-1417
  • 17 Hagen ME, Rohner P, Jung MK. et al. Robotic gastric bypass surgery in the swiss health care system: analysis of hospital costs and reimbursement. Obes Surg 2017; 27 (08) 2099-2105
  • 18 Sanchez A, Herrera L, Teixeira A. et al. Robotic surgery: financial impact of surgical trays optimization in bariatric and thoracic surgery. J Robot Surg 2023; 17 (01) 163-167
  • 19 Menger RP, Savardekar AR, Farokhi F, Sin A. A cost-effectiveness analysis of the integration of robotic spine technology in spine surgery. Neurospine 2018; 15 (03) 216-224
  • 20 Passias PG, Brown AE, Alas H. et al. A cost benefit analysis of increasing surgical technology in lumbar spine fusion. Spine J 2021; 21 (02) 193-201
  • 21 Joseph JR, Smith BW, Liu X, Park P. Current applications of robotics in spine surgery: a systematic review of the literature. Neurosurg Focus 2017; 42 (05) E2
  • 22 Davis BR, Yoo AC, Moore M, Gunnarsson C. Robotic-assisted versus laparoscopic colectomy: cost and clinical outcomes. JSLS 2014; 18 (02) 211-224
  • 23 Baek SJ, Kim SH, Cho JS, Shin JW, Kim J. Robotic versus conventional laparoscopic surgery for rectal cancer: a cost analysis from a single institute in Korea. World J Surg 2012; 36 (11) 2722-2729
  • 24 Cleary RK, Mullard AJ, Ferraro J, Regenbogen SE. The cost of conversion in robotic and laparoscopic colorectal surgery. Surg Endosc 2018; 32 (03) 1515-1524
  • 25 Xie Y. Cost-effectiveness of robotic surgery in gynecologic oncology. Curr Opin Obstet Gynecol 2015; 27 (01) 73-76
  • 26 Coronado PJ, Fasero M, Magrina JF, Herraiz MA, Vidart JA. Comparison of perioperative outcomes and cost between robotic-assisted and conventional laparoscopy for transperitoneal infrarenal para-aortic lymphadenectomy (TIPAL). J Minim Invasive Gynecol 2014; 21 (04) 674-681
  • 27 Judd JP, Siddiqui NY, Barnett JC, Visco AG, Havrilesky LJ, Wu JM. Cost-minimization analysis of robotic-assisted, laparoscopic, and abdominal sacrocolpopexy. J Minim Invasive Gynecol 2010; 17 (04) 493-499
  • 28 Agrawal S, Chen L, Tergas AI. et al. Characteristics associated with prolonged length of stay after hysterectomy for benign gynecologic conditions. Am J Obstet Gynecol 2018; 219 (01) 89.e1-89.e15
  • 29 Flack CK, Monn MF, Patel NB, Gardner TA, Powell CR. National trends in the performance of robot-assisted sacral colpopexy. J Endourol 2015; 29 (07) 777-783
  • 30 Baker MV, Teles Abrao Trad A, Tamhane P. et al. Abdominal and robotic sacrocolpopexy costs following implementation of enhanced recovery after surgery. Int J Gynaecol Obstet 2023; 161 (02) 655-660
  • 31 El Haraki AS, Shepherd JP, Parker-Autry C, Matthews CA. Financial analysis of minimally invasive sacrocolpopexy compared with native tissue vaginal repair with concomitant hysterectomy. Int Urogynecol J Pelvic Floor Dysfunct 2023; 34 (05) 1121-1126
  • 32 Niklas C, Saar M, Berg B. et al. da Vinci and open radical prostatectomy: comparison of clinical outcomes and analysis of insurance costs. Urol Int 2016; 96 (03) 287-294
  • 33 Barbash GI, Friedman B, Glied SA, Steiner CA. Factors associated with adoption of robotic surgical technology in US hospitals and relationship to radical prostatectomy procedure volume. Ann Surg 2014; 259 (01) 1-6
  • 34 Giedelman C, Covas Moschovas M, Bhat S. et al. Establishing a successful robotic surgery program and improving operating room efficiency: literature review and our experience report. J Robot Surg 2021; 15 (03) 435-442