Robotic longitudinal pancreaticojejunostomy for chronic pancreatitis: Comparison of clinical outcomes and cost to the open approach.

Abstract

BACKGROUND:

This study compares clinical and cost outcomes of robot-assisted laparoscopic (RAL) and open longitudinal pancreaticojejunostomy (LPJ) for chronic pancreatitis.

METHODS:

Clinical and cost data were retrospectively compared between open and RAL LPJ performed at a single center from 2008-2015.

RESULTS:

Twenty-six patients underwent LPJ: 19 open and 7 RAL. Two robot-assisted cases converted to open were included in the open group for analysis. Patients undergoing RAL LPJ had less intraoperative blood loss, a shorter surgical length of stay, and lower medication costs. Operation supply cost was higher in the RAL group. No difference in hospitalization cost was found.

CONCLUSIONS:

Versus the open approach, RAL LPJ performed for chronic pancreatitis shortens hospitalization and reduces medication costs; hospitalization costs are equivalent. A higher operative cost for RAL LPJ is mitigated by a shorter hospitalization. Decreased morbidity and healthcare resource economy support use of the robotic approach for LPJ when appropriate.

• Authors: Russell C Kirks, Patrick D Lorimer, Michael Fruscione, Allyson Cochran, Erin H Baker, David A Iannitti, Dionisios Vrochides, John B Martinie
• Journal: The international journal of medical robotics + computer assisted surgery : MRCAS (Int J Med Robot) Vol. 13 Issue 3 (Sep 2017) ISSN: 1478-596X [Electronic] England
• PMID: 28548233 (Publication Type: Comparative Study, Journal Article)
• Copyright: Copyright © 2017 John Wiley & Sons, Ltd.

Topics

• Adult
• Costs and Cost Analysis
• Female
• Health Care Costs
• Humans
• Laparoscopy (economics, methods)
• Male
• Middle Aged
• Minimally Invasive Surgical Procedures (economics, methods)
• Pancreaticojejunostomy (economics, methods)
• Pancreatitis, Chronic (economics, surgery)
• Retrospective Studies
• Robotic Surgical Procedures (economics, methods)
• Treatment Outcome