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Cost analysis of open versus robotic-assisted sacrocolpopexy
Lennox Hoyte1, Roshanak Rabbanifard, Jennifer Mezzich
1Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, FL, USA. lhoyte@health.usf.edu
Objective:
This study aimed to report on the costs, operative times, and length of stay for robotic and open sacrocolpopexy.
Study Design:
This retrospective study compares consecutive open and robotic sacrocolpopexies that were performed beyond the surgical learning curve. Hospital direct costs, operative times, and length of stay were compared for the 2 groups. Robot cost and maintenance were included. Statistical significance was considered at P < 0.05.
Results:
The study comprised 91 open and 73 robotic sacrocolpopexies. Both groups were similar clinically. Median operative times for open and robotic approaches were 166 and 212 minutes (P < 0.001), respectively, and length of stay was 3 versus 2 days (P < 0.001). Of the women in the robotic group, 48% had length of stay less than 24 hours versus 1% in the open group. Median robotic and open procedure direct costs were $6668 and $7804 (P = 0.002), respectively. Readmission rates at 30 days postoperatively were similar.
Conclusions:
Robotic sacrocolpopexy costs less but takes slightly longer to perform than the open procedure.
