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Cost analysis when open surgeons perform minimally invasive hysterectomy
Jonathan P Shepherd1, Kelly L Kantartzis1, Ki Hoon Ahn2
1Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|December 10, 2014
Summary
Laparoscopic hysterectomy is the most cost-effective surgical approach. However, robotic hysterectomy costs are comparable to laparoscopic hysterectomy when performed by surgeons experienced in open procedures.
Area of Science:
- Gynecologic Surgery
- Health Economics
Background:
- Hysterectomy costs exhibit significant variability.
- Surgical approach and surgeon specialization influence procedure expenses.
Purpose of the Study:
- To analyze hysterectomy costs based on surgical route (open, laparoscopic, robotic).
- To compare costs incurred by surgeons with different specializations (open, laparoscopic, robotic) performing laparoscopic versus robotic hysterectomy.
Main Methods:
- Cost data from 4,871 hysterectomies (2011-2013) were collected and analyzed.
- Statistical transformations were applied to account for cost distribution.
- Costs were compared across surgeon classifications and surgical routes.
Main Results:
- Laparoscopic hysterectomy demonstrated the lowest overall costs (P < .001).
- Robotic hysterectomy costs were similar to laparoscopic hysterectomy when performed by open-specialized surgeons.
- Open surgeons incurred higher costs for laparoscopic hysterectomy than laparoscopic surgeons in one analysis (P = .007).
Conclusions:
- Laparoscopic hysterectomy remains the most economical option.
- Robotic hysterectomy may offer comparable costs to laparoscopic procedures when executed by surgeons with a primary open surgery background.
