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相关实验视频

Updated: Jun 23, 2025

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
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机器人和开放性胃切除术的成本分析.

Yuki Hirata1, Heather G Lyu1, Ahad M Azimuddin1

  • 1From the Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.

Annals of surgery open : perspectives of surgical history, education, and clinical approaches
|June 17, 2024
PubMed
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Artificial intelligence-assisted estimation of superior mesenteric artery dissection extent during robotic pancreatoduodenectomy.

HPB : the official journal of the International Hepato Pancreato Biliary Association·2026

机器人胃切除术 (RG) 的前期成本较高,但与开放性胃切除术 (OG) 相比,由于医院住院时间缩短,外科手术期间的总费用相似. RG显示76.5%的概率降低了整体成本.

科学领域:

  • 手术瘤学手术瘤学
  • 卫生经济学 卫生经济学
  • 最少侵入性的手术

背景情况:

  • 机器人手术平台需要大量的实施和维护成本.
  • 机器人胃切除术 (RG) 与开放胃切除术 (OG) 的整体外科期间的成本效益仍然不清楚.

研究的目的:

  • 为了确定与机器人胃切除术 (RG) 相关的周围手术成本大小.
  • 为了比较RG和传统开放性胃切除术 (OG) 的总成本.

主要方法:

  • 对119名接受重大胃切除术的患者的回顾性分析 (2018年2月-2021年12月).
  • 计算和比较手术期间的成本 (手术内,30天的住院/门诊) 对于RG和OG.
  • 贝叶斯框架用于估计使用RG降低成本的可能性.

主要成果:

  • 在RG (10%) 和OG (13%),术后并发症的发生率相似.
  • 机器人胃切除术 (RG) 导致中位数住院时间更短 (4天而不是7天).
  • 尽管RG的内科手术费用较高,但总外科手术费用比率相似 (RG:6.1与OG:6.4),原因是RG的术后住院费用较低.

结论:

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  • 机器人胃切除术 (RG) 显示了与开放性胃切除术 (OG) 相似的总周术费用.
  • 下降的术后住院费用抵消了RG的更高的手术内费用.
  • RG的概率是76.5%,可以降低整体外科手术期间的费用.