TY - JOUR
T1 - Introducing robotic radical hysterectomy for stage 1bi cervical cancer—A prospective evaluation of clinical and economic outcomes in a single UK institution
AU - Ind, Thomas E. J.
AU - Marshall, Chris
AU - Kasius, Jenneke
AU - Butler, John
AU - Barton, Desmond
AU - Nobbenhuis, Marielle
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Background: We have assessed the impact of introducing robotics for a stage 1b cervical cancer service on laparotomy rates, complications, and costs. Methods: Data were collected prospectively from 90 consecutive patients who had a radical hysterectomy between 1 April 2010 and 31 December 2017. Results: There were 37 women before the first robotic procedure and 53 after. The laparotomy rate reduced from 75% (9/12) in 2010 to 0% (0/18) in 2017. The length of stay reduced from 6 days (range 3-39) to 3 days (range 1-15) (P < 0.0001). The complication rate before robotics was 68% (25/37) compared with 45% (24/53) afterwards (P = 0.0493). The blood transfusion rate reduced from 43% (16/37) to 11% (6/53) (P = 0.0007). There were no differences between the total costs before and after the introduction of robotics or between each route. Conclusions: In this series, introducing robotics for cervical carcinoma reduced hospital stay and complications. No cost differences were demonstrated.
AB - Background: We have assessed the impact of introducing robotics for a stage 1b cervical cancer service on laparotomy rates, complications, and costs. Methods: Data were collected prospectively from 90 consecutive patients who had a radical hysterectomy between 1 April 2010 and 31 December 2017. Results: There were 37 women before the first robotic procedure and 53 after. The laparotomy rate reduced from 75% (9/12) in 2010 to 0% (0/18) in 2017. The length of stay reduced from 6 days (range 3-39) to 3 days (range 1-15) (P < 0.0001). The complication rate before robotics was 68% (25/37) compared with 45% (24/53) afterwards (P = 0.0493). The blood transfusion rate reduced from 43% (16/37) to 11% (6/53) (P = 0.0007). There were no differences between the total costs before and after the introduction of robotics or between each route. Conclusions: In this series, introducing robotics for cervical carcinoma reduced hospital stay and complications. No cost differences were demonstrated.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85058022214&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30408324
U2 - 10.1002/rcs.1970
DO - 10.1002/rcs.1970
M3 - Article
C2 - 30408324
VL - 15
JO - International Journal of Medical Robotics and Computer Assisted Surgery
JF - International Journal of Medical Robotics and Computer Assisted Surgery
SN - 1478-5951
IS - 1
M1 - e1970
ER -