与多端口达芬奇平台相比,下一代机器人手术系统的经济评估:综合性审查
Maria Chiara Sighinolfi1,2, Giuseppe Pallotta3,4, Francesco Rossi3,4
1Urology Unit of Fondazione Policlinico Gemelli, IRCCS, Rome, Italy. mariachiara.sighinolfi@policlinicogemelli.it.
Journal of robotic surgery
|January 28, 2026
概括
与达芬奇 (DV) 系统相比,新的机器人手术系统提供了有希望的经济效益,可能会扩大接入. 然而,成本效益因机构和平台而异,需要进一步进行标准化评估.
科学领域:
- 最少侵入性的手术
- 手术机器人手术机器人手术机器人手术机器人
- 卫生经济学 卫生经济学
背景情况:
- 达芬奇 (DV) 系统主导着机器人辅助手术 (RAS),但高成本限制了其采用,特别是在资源有限的环境中.
- 新兴的下一代机器人平台旨在通过降低成本和创新的设计来提高可访问性.
研究的目的:
- 与已建立的达芬奇多端口系统相比,审查和综合新机器人平台的经济绩效数据.
- 评估新兴机器人外科技术的成本效益.
主要方法:
- 通过对PubMed,Scopus和Cochrane图书馆的系统搜索确定了14项比较成本研究的叙事审查,直到2025年10月.
- 分析的重点是激进前列腺切除术,结肠直肠手术和子宫切除术等手术.
主要成果:
- 新兴平台的经济概况不同;在一些研究中,Hugo RAS和KangDuo的成本较低.
- 最初的低效率和学习曲线可能会影响新系统的运行时间.
- 达芬奇单一港口系统与其多港口对应系统相比,显示了潜在的成本增加.
结论:
- 新的机器人平台可以在不影响临床结果的情况下降低特定的成本组件,但通用性有限.
- 经济结果受到机构因素的重大影响,如采购,定价和报销.
- 标准化,前性成本评估对于确定新型机器人系统在各种医疗保健环境中的真正价值至关重要.
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