Evaluation of cost-effectiveness among open, laparoscopic and robotic distal pancreatectomy: A systematic review and meta-analysis

被引：24
|
作者：
Partelli, Stefano [1 ,2 ]
Ricci, Claudio [3 ,4 ]
Cinelli, Lorenzo [1 ]
Montorsi, Roberto Maria [1 ]
Ingaldi, Carlo [3 ,4 ]
Andreasi, Valentina [1 ,2 ]
Crippa, Stefano [1 ,2 ]
Alberici, Laura [3 ,4 ]
Casadei, Riccardo [3 ,4 ]
Falconi, Massimo [1 ,2 ]
机构：
[1] IRCCS San Raffaele Sci Inst, Pancreas Translat & Clin Res Ctr, Pancreat Surg Unit, Milan, Italy
[2] Univ Vita Salute San Raffaele, Milan, Italy
[3] Univ Bologna, S Orsola Malpighi Hosp, Dept Internal Med & Surg DIMEC, Alma Mater Studorium, Bologna, Italy
[4] Azienda Osped Univ Bologna, Div Pancreat Surg, Bologna, Italy
来源：
AMERICAN JOURNAL OF SURGERY | 2021年 / 222卷 / 03期
关键词：
Pancreas; Distal pancreatectomy; Robotic; Laparoscopic; Cost-effectiveness; QUALITY-OF-LIFE; CLINICAL-OUTCOMES; RESECTION; ADENOCARCINOMA; EXPERIENCE; FISTULA; SURGERY; LESIONS;
D O I：
10.1016/j.amjsurg.2021.03.066
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: The cost-effectiveness of minimally invasive distal pancreatectomy (MIDP) is still a matter of debate. This study compares the cost-effectiveness of open (ODP), laparoscopic (LDP) and robotic distal pancreatectomy (RDP). Methods: Pubmed, Web of Science and Cochrane Library databases were searched. Studies comparing cost-effectiveness of ODP and MIDP were included. Results: A total of 1052 titles were screened and 16 articles were included in the study, 2431 patients in total. LDP resulted the most cost-efficient procedure, with a mean total cost of 14,682 +/- 5665 V and the lowest readmission rates. ODP had lower surgical procedure costs, 3867 +/- 768 V. RDP was the safest approach regarding hospital stay costs (5239 +/- 1741 V), length of hospital stay, morbidity, clinically relevant pancreatic fistula and reoperations. Conclusion: In this meta-analysis MIDP resulted as the most cost-effective approach. LDP seems to be protective against high costs, but RDP seems to be safer. (C) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码：513 / 520
页数：8
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