title: Outpatient robotic hysterectomy: clinical outcomes and financial analysis of initial experience.
abstract: BACKGROUND
  Robotic surgery is associated with several advantages but also high costs. This study evaluates clinical outcomes and financial feasibility of outpatient robotic hysterectomy.
  
  
  METHODS
  Retrospective cohort study (Class II-2) of patients who underwent robotic hysterectomy for benign conditions by the same surgeon (M.A.B.) at the University of Texas Medical Branch, Galveston, TX, USA, during November 2010-February 2013. The study only included cases considered appropriate for outpatient management. Clinical outcomes and costs for patients discharged the same day (outpatients) were compared to those electively admitted (hospitalized).
  
  
  RESULTS
  Twenty-nine cases (14 outpatient and 15 hospitalized) were analysed. Demographic, pre-, peri- and postoperative characteristics and payer types were not different among the groups (p > 0.05). Outpatient hysterectomy was associated with $4968 hospital savings (p < 0.001), $410 payer savings (p = 0.775) and $4558 improvement in net profit/loss (p = 0.01).
  
  
  CONCLUSIONS
  In well-selected patients, adopting a well-designed programme, outpatient robotic hysterectomy seems to be safe and financially feasible.
authors.affiliation: Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX, USA.
authors.forename: Mostafa A
authors.initials: MA
authors.lastname: Borahay
authors.forename: Pooja R
authors.initials: PR
authors.lastname: Patel
authors.forename: Cemil Hakan
authors.initials: CH
authors.lastname: Kilic
authors.forename: Gokhan Sami
authors.initials: GS
authors.lastname: Kilic
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000191:economics / Q000379:methods; D015331:Cohort Studies; D003365:Costs and Cost Analysis; D005260:Female; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D008875:Middle Aged; D010865:Pilot Projects; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000191:economics / Q000379:methods*; D016896:Treatment Outcome
keywords: cost; financial; hysterectomy; outcomes; outpatient; robotic surgery