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Robot-assisted vs. conventional laparoscopic rectopexy for rectal prolapse: a comparative study on costs and time
Jeroen Heemskerk1, Dominique E N M de Hoog, Wim G van Gemert
1Department of Surgery, Maastricht University Hospital, Maastricht, The Netherlands. Heemsch@hetnet.nl
Diseases of the Colon and Rectum
|August 11, 2007
Summary
Robot-assisted rectopexy is safe and feasible for rectal prolapse, but takes longer and costs more than conventional laparoscopy. Further research is needed to optimize robotic procedures.
Area of Science:
- Colorectal surgery
- Minimally invasive surgery
- Surgical robotics
Background:
- Laparoscopic rectopexy is a preferred treatment for full-thickness rectal prolapse, offering benefits over open surgery.
- While technically demanding, robotic assistance may enhance laparoscopic rectopexy efficiency and safety.
- Previous studies confirm the safety and feasibility of robot-assisted rectopexy, but cost and time comparisons are lacking.
Purpose of the Study:
- To compare the operative time, costs, and complications of robot-assisted laparoscopic rectopexy versus conventional laparoscopic rectopexy.
Main Methods:
- A retrospective review of the first 14 robot-assisted laparoscopic rectopexy cases.
- Comparison with 19 patients who underwent conventional laparoscopic rectopexy during the same period.
Main Results:
- Robot-assisted laparoscopic rectopexy demonstrated no increase in complications.
- The average operating time was 39 minutes longer for the robot-assisted group.
- Costs were higher by €557.29 (or $745.09) for robot-assisted rectopexy.
Conclusions:
- Robot-assisted laparoscopic rectopexy is a safe and feasible surgical option for rectal prolapse.
- The procedure is associated with increased operative time and higher costs compared to conventional laparoscopy.
