Outpatient Surgery Magazine

Hot Technology Supplement - April 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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successful implementation of the technology. What are common misconceptions about robotic surgery? That it takes longer to operate with the robot and cases cost more than standard laparoscopic surgery. Excellent data show that those beliefs are absolutely not true. Clinical databases capture cost and outcomes data for all surgeons, regardless of whether they're per- forming their first case or their 200th. Individual surgeons are pub- lishing studies that show they operate no slower with the robot — in fact many are able to go faster — and perform cases at a cost-savings compared with laparoscopic or open procedures. How are those cost savings realized? The direct costs of robotics are what you'd expect — the expense of acquisition, instrumentation and OR time. Indirect costs in this era of value-based purchasing are related to cost-consequence avoidance such as limiting post-op length of stay and avoiding complications such as surgical site infections and anastomotic leaks. Disposable supplies might cost more for robotic cases, but you must consider the cost of the platform as it relates to the overall episode of care. The best outcomes I've ever given my patients came using robotics. I see significant decreases in post-op pain, SSI rates and length of hospital stay. OSM Dr. Tyler (joshua.tyler.1@us.af.mil) is the director of the Institute for Defense Robotic Surgical Education, director of robotic surgery at Merit Health Biloxi, and chief of colon and rectal surgery at Keelser Medical Center in Biloxi, Miss. His opinions are not those of the Department of Defense, Air Force or federal government. A P R I L 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 6 7

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