laparoscopic vs. 机器人辅助反流性手术:对手术成本和结果的匹配队列分析
Andrés R Latorre-Rodríguez1,2, Arianna Vittori1,3, Ross M Bremner1,4
1Norton Thoracic Institute, St. Joseph's Hospital and Medical Center, 500 W Thomas Road, Phoenix, AZ, 85013, USA.
Surgical endoscopy
|January 20, 2026
概括
机器人抗逆流体手术 (R-ARS) 的早期结果并不比腹腔镜抗逆流体手术 (L-ARS) 更好,而且成本更高. 根据这项研究,L-ARS在前肠外科手术中似乎更具成本效益.
科学领域:
- 最少侵入性的手术
- 手术技术 手术技术
- 胃肠病学 胃肠病学
背景情况:
- 机器人手术的采用正在增加,但其在先手术中的成本效益尚未得到充分证实.
- 抗逆流体手术 (ARS) 是一种常见的前手术,正在探索机器人方法.
研究的目的:
- 为了比较早期的术后结果和机器人抗逆流体手术 (R-ARS) 与腹腔镜抗逆流体手术 (L-ARS) 的手术相关成本.
主要方法:
- 一项回顾性队列研究比较了R-ARS和倾向性得分匹配的L-ARS病例.
- 分析了术后结果和综合成本.
- 为特定结果计算增量成本效益比率 (ICER).
主要成果:
- 与L-ARS相比,R-ARS的手术室时间和逗留时间更长,但早期并发症率与L-ARS相似.
- 对于R-ARS的中位成本明显高 (15,676.1美元) 比L-ARS (7694.9美元).
- 在R-ARS之后,内镜干预更频繁,尽管食障碍的发病率相似.
结论:
- 机器人抗逆流体手术 (R-ARS) 似乎没有比腹腔镜抗逆流体手术 (L-ARS) 提供更好的短期安全性.
- R-ARS利用了更多的资源,并且表现出更低的成本效益.
- 腹腔镜抗逆流性手术 (L-ARS) 可能是对ARS的更具成本效益的选择.
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