Outcome comparisons between high-volume robotic and laparoscopic surgeons in a large healthcare system

Laila Rashidi, Chris Neighorn, Amir Bastawrous

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Robotic colorectal surgery has been performed for nearly a decade, but has been criticized for high cost. We sought to assess outcomes of colorectal operations performed by surgeons with higher experience in robotics and laparoscopy across a large health system. We performed a retrospective review of colon or rectal resections performed between January 2013 and May 2016 within the Providence Health and Services. Surgeons were only included if they performed 30 or more procedures with an approach per year. We assessed outcomes including operative time, hospital length of stay, complications, readmission, conversion to open rates and total direct costs. When comparing the two groups, robotics surgery had a decreased length of hospital stay, lower conversion rate, and longer operative time. There was no statistical difference between complications and rate of readmission. There was no statistically significant difference in total direct cost. These data do suggest that high volume robotic surgery can carry the benefit of a lower length of stay and lower conversion rate, while not incurring an increase in total cost, complication or readmissions.

Original languageEnglish (US)
Pages (from-to)901-905
Number of pages5
JournalAmerican Journal of Surgery
Volume213
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Robotics
Length of Stay
Delivery of Health Care
Costs and Cost Analysis
Operative Time
Colorectal Surgery
Laparoscopy
Health Services
Colon
Surgeons
Health

ASJC Scopus subject areas

  • Surgery

Cite this

Outcome comparisons between high-volume robotic and laparoscopic surgeons in a large healthcare system. / Rashidi, Laila; Neighorn, Chris; Bastawrous, Amir.

In: American Journal of Surgery, Vol. 213, No. 5, 01.05.2017, p. 901-905.

Research output: Contribution to journalArticle

Rashidi, Laila ; Neighorn, Chris ; Bastawrous, Amir. / Outcome comparisons between high-volume robotic and laparoscopic surgeons in a large healthcare system. In: American Journal of Surgery. 2017 ; Vol. 213, No. 5. pp. 901-905.
@article{1c9db6ff93934a35a683eff1f9f11dfd,
title = "Outcome comparisons between high-volume robotic and laparoscopic surgeons in a large healthcare system",
abstract = "Robotic colorectal surgery has been performed for nearly a decade, but has been criticized for high cost. We sought to assess outcomes of colorectal operations performed by surgeons with higher experience in robotics and laparoscopy across a large health system. We performed a retrospective review of colon or rectal resections performed between January 2013 and May 2016 within the Providence Health and Services. Surgeons were only included if they performed 30 or more procedures with an approach per year. We assessed outcomes including operative time, hospital length of stay, complications, readmission, conversion to open rates and total direct costs. When comparing the two groups, robotics surgery had a decreased length of hospital stay, lower conversion rate, and longer operative time. There was no statistical difference between complications and rate of readmission. There was no statistically significant difference in total direct cost. These data do suggest that high volume robotic surgery can carry the benefit of a lower length of stay and lower conversion rate, while not incurring an increase in total cost, complication or readmissions.",
author = "Laila Rashidi and Chris Neighorn and Amir Bastawrous",
year = "2017",
month = "5",
day = "1",
doi = "10.1016/j.amjsurg.2017.03.034",
language = "English (US)",
volume = "213",
pages = "901--905",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Outcome comparisons between high-volume robotic and laparoscopic surgeons in a large healthcare system

AU - Rashidi, Laila

AU - Neighorn, Chris

AU - Bastawrous, Amir

PY - 2017/5/1

Y1 - 2017/5/1

N2 - Robotic colorectal surgery has been performed for nearly a decade, but has been criticized for high cost. We sought to assess outcomes of colorectal operations performed by surgeons with higher experience in robotics and laparoscopy across a large health system. We performed a retrospective review of colon or rectal resections performed between January 2013 and May 2016 within the Providence Health and Services. Surgeons were only included if they performed 30 or more procedures with an approach per year. We assessed outcomes including operative time, hospital length of stay, complications, readmission, conversion to open rates and total direct costs. When comparing the two groups, robotics surgery had a decreased length of hospital stay, lower conversion rate, and longer operative time. There was no statistical difference between complications and rate of readmission. There was no statistically significant difference in total direct cost. These data do suggest that high volume robotic surgery can carry the benefit of a lower length of stay and lower conversion rate, while not incurring an increase in total cost, complication or readmissions.

AB - Robotic colorectal surgery has been performed for nearly a decade, but has been criticized for high cost. We sought to assess outcomes of colorectal operations performed by surgeons with higher experience in robotics and laparoscopy across a large health system. We performed a retrospective review of colon or rectal resections performed between January 2013 and May 2016 within the Providence Health and Services. Surgeons were only included if they performed 30 or more procedures with an approach per year. We assessed outcomes including operative time, hospital length of stay, complications, readmission, conversion to open rates and total direct costs. When comparing the two groups, robotics surgery had a decreased length of hospital stay, lower conversion rate, and longer operative time. There was no statistical difference between complications and rate of readmission. There was no statistically significant difference in total direct cost. These data do suggest that high volume robotic surgery can carry the benefit of a lower length of stay and lower conversion rate, while not incurring an increase in total cost, complication or readmissions.

UR - http://www.scopus.com/inward/record.url?scp=85017376069&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017376069&partnerID=8YFLogxK

U2 - 10.1016/j.amjsurg.2017.03.034

DO - 10.1016/j.amjsurg.2017.03.034

M3 - Article

VL - 213

SP - 901

EP - 905

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 5

ER -