Study Challenges Benefits of Robotic-Assisted Laparoscopic Hysterectomy
A recent study may make proving medical necessity for robotic-assisted laparoscopic hysterectomy surgery more of a challenge. A retrospective review of 36,188 patient records from 358 hospitals found the robot-assisted hysterectomy procedure costs thousands of dollars more than traditional laparoscopic hysterectomy surgery with no significant improvement in clinical outcomes. Surgery time also was significantly less for non-robotic-assisted procedures.
“Robot-assisted surgery can provide advancement in minimally invasive procedures for a very select, more complex type of procedure, such as laparoscopic prostatectomy or gynecologic oncology,” said Resad P. Pasic, M.D., Ph.D., University of Louisville, Ky., one of the lead investigators for the study. “However, our study showed that in routine hysterectomy procedures, where traditional laparoscopic approaches can achieve the same clinical outcomes at a much lower cost to hospitals and with shorter operating time, there is no value proposition to use the robot for routine hysterectomy.”
The study examined data from the Premier hospital database of cases involving women 18 years or older who had a minimally invasive hysterectomy — traditional or robot-assisted — performed between 2007 and 2008, according to a Johnson & Johnson press release.
The results of the study, titled “Comparing Robot-Assisted to Conventional Laparoscopic Hysterectomy: Impact on Cost and Clinical Outcomes,” was sponsored by Ethicon Endo-Surgery and e-published in the October issue of the Journal of Minimally Invasive Gynecology.