Background: The cost-effectiveness of minimally invasive distal pancreatectomy (MIDP) is still a matter of debate. This study compares the cost-effectiveness of open (ODP), laparoscopic (LDP) and robotic distal pancreatectomy (RDP).Methods: Pubmed, Web of Science and Cochrane Library databases were searched. Studies comparing cost-effectiveness of ODP and MIDP were included.Results: A total of 1052 titles were screened and 16 articles were included in the study, 2431 patients in total. LDP resulted the most cost-efficient procedure, with a mean total cost of 14,682 +/- 5665 V and the lowest readmission rates. ODP had lower surgical procedure costs, 3867 +/- 768 V. RDP was the safest approach regarding hospital stay costs (5239 +/- 1741 V), length of hospital stay, morbidity, clinically relevant pancreatic fistula and reoperations.Conclusion: In this meta-analysis MIDP resulted as the most cost-effective approach. LDP seems to be protective against high costs, but RDP seems to be safer. (C) 2021 Elsevier Inc. All rights reserved.

Evaluation of cost-effectiveness among open, laparoscopic and robotic distal pancreatectomy: A systematic review and meta-analysis / Partelli, Stefano; Ricci, Claudio; Cinelli, Lorenzo; Montorsi, Roberto Maria; Ingaldi, Carlo; Andreasi, Valentina; Crippa, Stefano; Alberici, Laura; Casadei, Riccardo; Falconi, Massimo. - In: THE AMERICAN JOURNAL OF SURGERY. - ISSN 0002-9610. - 222:3(2021), pp. 513-520. [10.1016/j.amjsurg.2021.03.066]

Evaluation of cost-effectiveness among open, laparoscopic and robotic distal pancreatectomy: A systematic review and meta-analysis

Partelli, Stefano;Cinelli, Lorenzo;Andreasi, Valentina;Crippa, Stefano;Falconi, Massimo
2021-01-01

Abstract

Background: The cost-effectiveness of minimally invasive distal pancreatectomy (MIDP) is still a matter of debate. This study compares the cost-effectiveness of open (ODP), laparoscopic (LDP) and robotic distal pancreatectomy (RDP).Methods: Pubmed, Web of Science and Cochrane Library databases were searched. Studies comparing cost-effectiveness of ODP and MIDP were included.Results: A total of 1052 titles were screened and 16 articles were included in the study, 2431 patients in total. LDP resulted the most cost-efficient procedure, with a mean total cost of 14,682 +/- 5665 V and the lowest readmission rates. ODP had lower surgical procedure costs, 3867 +/- 768 V. RDP was the safest approach regarding hospital stay costs (5239 +/- 1741 V), length of hospital stay, morbidity, clinically relevant pancreatic fistula and reoperations.Conclusion: In this meta-analysis MIDP resulted as the most cost-effective approach. LDP seems to be protective against high costs, but RDP seems to be safer. (C) 2021 Elsevier Inc. All rights reserved.
2021
Cost-effectiveness
Distal pancreatectomy
Laparoscopic
Pancreas
Robotic
Cost-Benefit Analysis
Humans
Laparoscopy
Length of Stay
Pancreatectomy
Patient Readmission
Prospective Studies
Publication Bias
Randomized Controlled Trials as Topic
Retrospective Studies
Robotic Surgical Procedures
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/132043
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