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Related Experiment Video

Updated: Feb 4, 2026

Robot-assisted Partial Splenectomy
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Postoperative complications decrease the cost-effectiveness of robotic-assisted lobectomy.

Peter J Kneuertz1, Emily Singer1, Desmond M D'Souza1

  • 1Thoracic Surgery Division, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Surgery
|October 1, 2018
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Summary
This summary is machine-generated.

The cost of robotic-assisted lobectomy (RATS) varies significantly, driven by postoperative complications. Reducing these common events can improve the cost-effectiveness of RATS procedures for lung cancer.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Health Economics

Background:

  • Robotic-assisted thoracic surgery (RATS) lobectomy is increasingly used for early-stage non-small cell lung cancer.
  • The cost associated with RATS lobectomy remains a significant concern for healthcare providers and patients.
  • Understanding cost variability and its drivers is crucial for optimizing resource allocation.

Purpose of the Study:

  • To define the variability in hospital costs following RATS lobectomy for early-stage non-small cell lung cancer.
  • To identify patient-specific factors and postoperative outcomes associated with increased hospital expenses.
  • To analyze the economic impact of complications and prolonged hospital stays.

Main Methods:

  • Retrospective review of 137 patients undergoing RATS lobectomy for stages I-IIIA non-small cell lung cancer (2012-2014).
  • Linking clinical outcomes with hospital financial data.
  • Linear regression analysis to identify factors influencing total hospital cost.

Main Results:

  • Average total hospital cost was $19,565 (±$11,620.42), with postoperative costs comprising ~50%.
  • Male sex and upper lobe disease independently increased costs; higher diffusing capacity of lung for carbon monoxide (DLCO) was cost-protective.
  • Atrial fibrillation was the most costly complication ($5,609.13), followed by prolonged hospitalization ($2,376.23/day).

Conclusions:

  • Significant cost variation exists for RATS lobectomy, influenced by patient factors and postoperative events.
  • Postoperative complications, particularly atrial fibrillation and prolonged length of stay, are major cost drivers.
  • Targeted initiatives to mitigate common complications can enhance the cost-effectiveness of RATS lobectomy.