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Robotic adrenalectomy: evaluation of cost-effectiveness
Carmela De Crea1,2, Giovanni Arcuri3, Francesco Pennestrì2
1Dipartimento Universitario di Medicina e Chirurgia Traslazionale, Università Cattolica del Sacro Cuore, Rome, Italy.
Gland Surgery
|August 11, 2020
Summary
Robot-assisted adrenalectomy offers no clear advantage over traditional laparoscopic surgery for adrenal lesions. Higher costs are a significant barrier, and further research is needed to determine its true value.
Area of Science:
- Minimally Invasive Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Laparoscopic adrenalectomy (LA) is the standard for adrenal lesions due to better patient outcomes.
- Robotic technology has advanced, leading to robot-assisted adrenalectomy (RA).
- Current evidence does not show a clear benefit of RA over LA.
Purpose of the Study:
- To review current data on robot-assisted adrenalectomy (RA).
- To compare operative outcomes, advantages, and drawbacks of RA versus LA.
- To evaluate the cost-effectiveness of RA.
Main Methods:
- Literature review of existing studies on robot-assisted adrenalectomy.
- Comparative analysis of operative outcomes between RA and LA.
- Assessment of cost-effectiveness data for RA implementation.
Main Results:
- No definitive advantage of RA over LA has been established.
- Higher costs associated with RA are a significant limitation.
- Further data is needed to fully assess RA's benefits and drawbacks.
Conclusions:
- Laparoscopic adrenalectomy remains the preferred approach.
- The cost-effectiveness of robot-assisted adrenalectomy requires further investigation.
- Robotic assistance in adrenalectomy does not currently offer proven benefits justifying its increased cost.
