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Cost-effectiveness of current approaches in rectal surgery
Khalid N Alsowaina1,2, Christopher M Schlachta1,2, Nawar A Alkhamesi1,2
1Canadian Surgical Technologies & Advanced Robotics (CSTAR), London Health Sciences Centre, Canada.
Annals of Medicine and Surgery (2012)
|July 31, 2019
Summary
Minimally invasive rectal surgery offers better patient outcomes and cost-effectiveness compared to open surgery, despite similar long-term oncological results. Further research is needed to fully evaluate robotic surgery
Area of Science:
- Surgical Oncology
- Health Economics
- Gastroenterology
Background:
- Colorectal cancer is a leading cause of cancer mortality.
- Minimally invasive techniques are increasingly adopted in rectal surgery.
- Evaluating surgical procedures requires both clinical effectiveness and economic considerations.
Purpose of the Study:
- To review the cost-effectiveness of different rectal surgery types.
- To provide a systematic approach for future surgical preferences.
- To compare minimally invasive versus open rectal surgery.
Main Methods:
- Comprehensive literature review using Medline, Embase, and Cochrane Central Register.
- Analysis of qualitative (quality of life) and quantitative (survival) measures.
- Assessment of resource utilization and associated costs, including hospital stay.
Main Results:
- Minimally invasive rectal surgery demonstrates superior cost-effectiveness over open techniques.
- Benefits include earlier return of bowel function, lower morbidity, reduced pain, and shorter hospital stays.
- No significant difference in long-term oncological and survival outcomes between techniques was observed.
Conclusions:
- Minimally invasive rectal surgery offers significant advantages in patient recovery and quality of life.
- Limited long-term data on robotic surgery hinders comprehensive comparison.
- Further studies are recommended to optimize robotic surgery cost-effectiveness.
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