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Single-institution Cost Comparison: Single-port Versus Multiport Robotic Prostatectomy.
Louis Lenfant1, Guilherme Sawczyn2, Soodong Kim2
1Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA; Sorbonne University, GRC n°5, PREDICTIVE ONCO-UROLOGY, AP-HP, Hôpital Pitié-Salpêtrière, Urology, F-75013 PARIS, France.
European Urology Focus
|July 8, 2020
Summary
Robot-assisted radical prostatectomy costs are comparable between single-port (SP) and multiport (MP) platforms. Shorter hospital stays with SP offset higher disposable costs, making it a cost-effective option.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Health Economics
Background:
- Value-based healthcare necessitates cost-effectiveness analysis for surgical innovations.
- Robot-assisted surgery is increasingly adopted for prostatectomy.
Purpose of the Study:
- To compare the total costs of robot-assisted radical prostatectomy between single-port (SP) and multiport (MP) platforms.
- To evaluate the economic implications of adopting new robotic surgical technologies.
Main Methods:
- Retrospective analysis of costs for localized prostate cancer patients treated between November 2018 and November 2019.
- Comparison of surgical care costs, hospitalization expenses, and disposable supply costs between SP (n=78) and MP (n=97) robotic platforms.
- Analysis of perioperative data including length of stay and same-day discharge rates.
Main Results:
- Mean prostatectomy costs were comparable: SP ($13,512 ± $1615) vs. MP ($13,284 ± $1360).
- Single-port surgery demonstrated significantly lower hospitalization costs (p < 0.001) and shorter length of stay (9.84 ± 11.3 hours vs. 35.5 ± 29.1 hours; p < 0.001).
- Higher disposable costs in the SP group were offset by reduced hospitalization expenses, with 70% of SP patients discharged same-day versus 5% in the MP group.
Conclusions:
- Robot-assisted radical prostatectomy costs are comparable between single-port and multiport platforms.
- The single-port platform offers potential cost savings through reduced hospitalization, despite higher consumable costs.
- Implementation of single-port robotic radical prostatectomy is not associated with increased surgical care costs compared to multiport approaches.
