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.
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