Introducing the E100: will the improvement make a significant difference? Financial analysis based on sleeve...

Area of Science:

• Minimally Invasive Surgery
• Surgical Technology
• Health Economics

Background:

• Robotic-assisted surgery offers benefits but faces cost barriers.
• Cost-effectiveness is crucial for widespread adoption of surgical robotics.
• Generator performance impacts procedure efficiency and cost.

Purpose of the Study:

• To compare the performance and cost-effectiveness of two surgical generators: E100 and ERBE VIO dV 2.0.
• To evaluate the financial impact of adopting the E100 generator in robotic-assisted procedures.
• To identify strategies for reducing costs in robotic surgery.

Main Methods:

• Comparative analysis of generator performance metrics (activations, seal time, console time).
• Evaluation of financial impact based on annual surgical volume.
• Retrospective analysis of 1457 sleeve gastrectomies using ERBE and E100 generators.

Main Results:

• No significant difference in preoperative BMI or bleeding complications between groups.
• E100 generator use resulted in a 42.3% lower sealing time and 8 minutes shorter console time per case.
• Annual cost savings of approximately $33-$34K are projected with E100 adoption.

Conclusions:

• The E100 generator demonstrates improved efficiency in robotic-assisted surgery.
• Transitioning to the E100 generator is a viable strategy for reducing procedural costs.
• Enhanced cost-effectiveness can facilitate broader implementation of robotic surgery.