title: [Study of surplus cost of robotic assistance for radical hysterectomy, versus laparotomy and standard laparoscopy].
abstract: OBJECTIVE
  The study purpose was to compare the costs among robotic, laparoscopic and open radical hysterectomy for cervical cancer.
  
  
  METHODS
  Thirty-seven patients underwent robotic radical hysterectomy for cervical cancer. Cases were performed by three surgeons, at two institutions, and were retrospectively reviewed to perform a cost comparison between all three modalities. We included costs for edible materials in anesthesia and surgery, but costs for staff and indirect financial expenses were excluded. Those data are compared to open and laparoscopic radical hysterectomy data.
  
  
  RESULTS
  The average cost for robotic assistance presented a surplus of 1796 euros compare to laparotomy and 1313 euros compare to standard laparoscopy in 2008, and 1320 and 837 euros respectively.
  
  
  CONCLUSIONS
  The average cost for radical hysterectomy was highest for robotic, followed by standard laparoscopy, and least for laparotomy. However, over only 2 years of use, this difference tends to decrease. Medico-economic impact is the main restraint for robotic assistance development, and needs to be assessed permanently.
authors.affiliation: Clinique de gynécologie, hôpital Jeanne-de-Flandre, centre hospitalier régional et universitaire (CHRU) de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France. thomas.dennis@chru-lille.fr
authors.forename: T
authors.initials: T
authors.lastname: Dennis
authors.forename: C
authors.initials: C
authors.lastname: de Mendonça
authors.forename: J
authors.initials: J
authors.lastname: Phalippou
authors.forename: P
authors.initials: P
authors.lastname: Collinet
authors.forename: L
authors.initials: L
authors.lastname: Boulanger
authors.forename: F
authors.initials: F
authors.lastname: Weingertner
authors.forename: E
authors.initials: E
authors.lastname: Leblanc
authors.forename: F
authors.initials: F
authors.lastname: Narducci
mesh_terms: D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000191:economics / Q000379:methods*; D010535:Laparoscopy / Q000191:economics*; D012189:Retrospective Studies; D012371:Robotics / Q000191:economics*