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Daniel Ramirez1, Vishnu Ganesan1, Ryan J Nelson1

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This study presents a cost-saving technique for robotic-assisted laparoscopic prostatectomy (RALP) using only three instruments. This method reduces disposable costs while maintaining successful patient outcomes in robotic surgery.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Robotic surgery offers significant advantages but incurs high disposable instrument costs.
  • Optimizing resource utilization is crucial for improving the value of robotic procedures.

Purpose of the Study:

  • To describe a novel technique for robotic-assisted laparoscopic prostatectomy (RALP) using a limited number of instruments.
  • To reduce disposable costs associated with robotic surgical platforms without compromising patient outcomes.

Main Methods:

  • A technique for performing RALP and pelvic lymph node dissection using only three specific robotic instruments was developed.
  • The instruments utilized were a robotic needle driver, Prograsp forceps, and monopolar scissors.

Main Results:

  • Excluding high-cost energy instruments can reduce operative costs by up to 40%.
  • Utilizing a single robotic needle driver instead of two can further decrease overall costs by approximately 12%.
  • The described 3-instrument technique enables successful RALP and cost reduction.

Conclusions:

  • Implementing cost-efficient strategies, such as using fewer disposable instruments, is vital for enhancing the value of robotic surgery.
  • This technique demonstrates a viable method to minimize operating room expenses while ensuring the successful execution of RALP.