The benefit of robotic systems for general surgery is a matter of debate.
Dr Thomas Schmid and colleagues from Austria conducted a retrospective analysis of 6 robotic vs 6 conventional laparoscopic splenectomies.
The investigative team compared their initial series of robotic splenectomies with their first series of conventional laparoscopic ones.
Patients were matched with regard to age, bodymass index, ASA score, and preoperative platelet levels.
All procedures were performed by a single surgeon.
The investigators noted that size and weight of the resected specimens were comparable in both groups.
|Operating time was 154 min for the robotic vs 127 min for the laparoscopic group|
|World Journal of Surgery|
Median overall operating time was 154 min for the robotic and 127 min for the laparoscopic group.
The team reported no complications occurred, and observed no open conversions.
The median postoperative hospital stay was 7 days for the robotic group and 6 days for the laparoscopic group.
The investigators found that the median average costs were $6927 for the robotic procedure versus $4084 for the conventional laparoscopic procedure.
Minimally invasive splenectomies are feasible using either conventional laparoscopic techniques or the da Vinci™ robotic system.
Dr Schmid's team concluded, “In this analysis, procedures performed with the da Vinci™ robotic system resulted in prolonged overall operative time and significantly higher procedural costs.”
“The use of a robotic system for laparoscopic splenectomy offers, at this stage, no relevant benefit and thus is not justified.”