Abstract
BackgroundAlthough use of the da Vinci robotic platform in bariatric surgery is gaining momentum, there are financial concerns. ObjectivesOur retrospective study evaluated the cost of robotically assisted sleeve gastrectomy (R-SG) versus conventional laparoscopic sleeve gastrectomy (L-SG). SettingCenter of Excellence bariatric surgery center in Allentown, Pennsylvania. MethodsWe analyzed consecutive patients who underwent primary R-SG and compared them with L-SG patients. Primary outcomes were overall cost for length of stay, operating time, and supplies. Secondary outcomes were 30-day complications, reoperations, and readmissions. ResultsWe had no adverse events in either group. The overall cost for R-SG and L-SG was not statistically different (mean total cost for R-SG and L-SG was $5308.99 and $4918.88, respectively). Operating time cost was significantly higher for R-SG compared with L-SG ($1340 versus $112 for R-SG and L-SG, respectively). R-SG had a shorter length of stay compared with L-SG (1.4 versus 1.5 d, respectively). ConclusionsOur study revealed no difference in cost R-SG and L-SG, with a trend toward shorter length of stay for R-SG over time.
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