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Robotic-assisted versus laparoscopic splenectomy in children: a costeffectiveness study
Carlos Delgado-Miguel1,2, Juan I Camps3
1Department of Pediatric Surgery, Prisma Health Children's Hospital, 9 Richland Medical Park Dr, Columbia, SC, 29203, USA. carlosdelgado84@hotmail.com.
Journal of Robotic Surgery
|January 27, 2024
Summary
Robotic assisted splenectomy (RAS) is a safe and effective alternative to laparoscopic splenectomy (LAS) in pediatric patients with non-traumatic blood disorders, showing fewer complications and lower readmission rates.
Area of Science:
- Pediatric Surgery
- Surgical Technology
- Hematology
Background:
- Laparoscopic elective splenectomy is a standard treatment for pediatric non-traumatic blood disorders.
- Robotic assisted splenectomy is an emerging alternative with limited pediatric data.
- Comparing the efficacy and cost of these approaches in children is crucial.
Purpose of the Study:
- To compare the effectiveness and associated costs of robotic assisted splenectomy (RAS) versus laparoscopic splenectomy (LAS) in pediatric patients.
- To evaluate surgical outcomes, complications, and resource utilization for both procedures.
Main Methods:
- Retrospective study of 84 pediatric patients undergoing splenectomy between 2004 and 2021.
- Patients were divided into laparoscopic splenectomy (LAS) and robotic assisted splenectomy (RAS) groups.
- Comparison of demographics, clinical features, intraoperative data, postoperative outcomes, and economic costs.
Main Results:
- RAS group showed significantly lower intraoperative blood loss and shorter surgery time compared to LAS.
- Postoperative complications, blood transfusion requirements, and readmission rates were significantly lower in the RAS group.
- No significant difference in length of hospital stay or median economic costs between the two groups.
Conclusions:
- Robotic assisted splenectomy (RAS) is a safe and feasible option for pediatric patients with non-traumatic blood disorders.
- RAS demonstrates superior outcomes in terms of reduced blood loss, complications, and readmissions compared to traditional laparoscopic splenectomy (LAS).
- Further research may support wider adoption of RAS in pediatric splenectomy procedures.
