title: Endometrial cancer surgery costs: robot vs laparoscopy.
abstract: OBJECTIVE
  To compare surgical costs for endometrial cancer staging between robotic-assisted and traditional laparoscopic methods.
  
  
  METHODS
  Retrospective chart review from November 2005 to July 2006 (Canadian Task Force classification II-3).
  
  
  METHODS
  Non-university-affiliated teaching hospital.
  
  
  METHODS
  Thirty-three women with diagnosed endometrial cancer undergoing hysterectomy, bilateral salpingo-oophorectomy, and pelvic and paraaortic lymph node resection.
  
  
  METHODS
  Patients underwent either robotic or traditional laparoscopic surgery without randomization.
  
  
  RESULTS
  Hospital cost data were obtained for operating room time, instrument use, and disposable items from hospital billing records and provided by the finance department. Separate overall hospital stay costs were also obtained. Mean operative costs were higher for robotic procedures ($3323 vs $2029; p<.001), due in part to longer operating room time ($1549 vs $1335; p=.03). The more significant cost difference was due to disposable instrumentation ($1755 vs $672; p<.001). Total hospital costs were also higher for robotic-assisted procedures ($5084 vs $ 3615; p=.002).
  
  
  CONCLUSIONS
  Robotic surgery costs were significantly higher than traditional laparoscopy costs for staging of endometrial cancer in this small cohort of patients.
authors.affiliation: Department of Obstetrics and Gynecology, Main Line Health Care, Lankenau Hospital, Wynnewood, Pennsylvania 19096, USA. holtzd@mlhs.org
authors.forename: David O
authors.initials: DO
authors.lastname: Holtz
authors.forename: Gennady
authors.initials: G
authors.lastname: Miroshnichenko
authors.forename: Mark O
authors.initials: MO
authors.lastname: Finnegan
authors.forename: Michael
authors.initials: M
authors.lastname: Chernick
authors.forename: Charles J
authors.initials: CJ
authors.lastname: Dunton
mesh_terms: D004209:Disposable Equipment / Q000191:economics; D016889:Endometrial Neoplasms / Q000191:economics* / Q000473:pathology / Q000601:surgery*; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D017721:Hospital Costs; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy / Q000191:economics*; D007902:Length of Stay / Q000191:economics; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D009873:Operating Rooms / Q000191:economics; D010052:Ovariectomy; D010414:Pennsylvania; D012189:Retrospective Studies; D012371:Robotics / Q000191:economics*