Cost comparison of robotic, video-assisted thoracic surgery and thoracotomy approaches to pulmonary lobectomy Journal Article


Authors: Park, B. J.; Flores, R. M.
Article Title: Cost comparison of robotic, video-assisted thoracic surgery and thoracotomy approaches to pulmonary lobectomy
Abstract: The financial impact of employing minimally invasive techniques for lobectomy compared with traditional open thoracotomy was assessed. A retrospective review was conducted using ICD9 codes for thoracotomy, video-assisted thoracic surgery (VATS), and robotic VATS lobectomy to determine total average costs associated with the resultant hospital stay. The difference in total average costs was calculated for each group. Robotic VATS lobectomy had higher associated costs than VATS only, primarily attributed to increased costs of the first hospital day, but was still less costly than thoracotomy. The average cost of VATS is substantially less than thoracotomy primarily because of a decreased length of stay. The cost of robotic assistance for VATS is still less than thoracotomy, but greater than VATS alone. © 2008 Elsevier Inc. All rights reserved.
Keywords: controlled study; treatment outcome; retrospective studies; major clinical study; review; united states; lung lobectomy; thoracotomy; pneumonectomy; surgical approach; length of stay; hospitalization; operation duration; endoscopic surgery; intermethod comparison; minimally invasive surgery; bronchoscopy; robotics; thorax surgery; thoracic surgery, video-assisted; hospital cost; costs and cost analysis; lung diseases; cost utility analysis
Journal Title: Thoracic Surgery Clinics
Volume: 18
Issue: 3
ISSN: 1547-4127
Publisher: W.B. Saunders Co-Elsevier Inc.  
Date Published: 2008-08-01
Start Page: 297
End Page: 300
Language: English
DOI: 10.1016/j.thorsurg.2008.05.003
PUBMED: 18831506
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 10" - "Export Date: 17 November 2011" - "CODEN: TSCHC" - "Source: Scopus"
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  1. Raja Flores
    108 Flores
  2. Bernard J Park
    263 Park