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

被引：27

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

页码：513 / 520

页数：8

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