[Robot-assisted surgery using da Vinci robot telemanipulation in prostatectomy]

Llanos-Mendez A, Villegas Portero R
Record ID 32011000510
Spanish
Authors' recommendations: The results show similarity between robotic and open surgery regarding the postsurgical pathological parameters. The patients with the da Vinci® system intervention displayed less blood loss during the intervention, shorter hospital stays, lower average scores on the Likert pain scale and a shorter period for the recuperation of continence and sexual function.The acquisition of the system would involve an investment of 1.1-1.2 million euros plus an annual maintenance of approximately one quarter of the purchase price of the robot.The economic evaluation studies show different results. In one study open prostatectomy was the more cost-effective method, with a cost difference of 487$ and 1,726$ from the laparoscopic and robotic technique, respectively. In the second, a model was established by which both procedures would be comparable when taking into account the reduced duration of the intervention and the hospital stay and the increased volume of weekly cases. The third study analyzed the hospital costs derived from robotic surgery and two conventional techniques, the first giving smaller total costs than those derived from open surgery (9,343$ versus 9,724$). However, in this last study data was not offered on the acquisition and maintenance costs of the da Vinci® system.
Details
Project Status: Completed
Year Published: 2010
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Humans
  • Prostatectomy
  • Robotics
  • Surgery, Computer-Assisted
  • Telemedicine
Contact
Organisation Name: Andalusian Health Technology Assessment Area
Contact Address: Area de Evaluacion de Tecnologias Sanitarias Sanitarias de Andalucia (AETSA) Avda. Innovación, s/n Edificio Arena 1. Sevilla (Spain) Tel. +34 955 006 309
Contact Name: aetsa.csalud@juntadeandalucia.es
Contact Email: aetsa.csalud@juntadeandalucia.es
Copyright: Andalusian Agency for Health Technology Assessment (AETSA)
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