Robotic-assisted surgery reduced the median length of hospital stay compared to open surgery across target procedures, saving an estimated 5,390 hospitalisation days over two years.
Observational (n=9,326)
Yes
Does robotic-assisted surgery reduce length of hospital stay compared to laparoscopy and open surgery in adults undergoing target surgical procedures?
Using robotic-assisted surgery instead of open surgery or laparoscopy reduced the median length of hospital stay and saved an estimated 5,390 hospitalisation days over two years.
The number of available hospital beds is decreasing in many countries. Reducing the length of hospital stay (LOS) and increasing bed turnover could improve patient flow. We evaluated whether robot-assisted surgery (RAS) had a beneficial impact on the LOS in a French hospital trust with a long-established robotic program (Assistance Publique-Hôpitaux de Paris, AP-HP). We extracted data from "Programme de Médicalisation des Systèmes d'Information" to determine the median LOS for adults in our trust after RAS versus laparoscopy and open surgery in 2021-2022 for eight target procedures, and compared data nationally and at similar academic centres (same database). We also calculated the number of hospitalisation days 'saved' using RAS. Overall, 9326 target procedures were performed at AP-HP: 3864 (41.4%) RAS, 2978 (31.9%) laparoscopies, and 2484 (26.6%) open surgeries. The median LOS for RAS was lower than laparoscopy and open surgery for all procedures, apart from hysterectomy and colectomy (equivalent to laparoscopy). Results for urological procedures at AP-HP reflected national values. The equivalent of 5390 hospitalisation days was saved in 2021-2022 using RAS instead of open surgery or laparoscopy at AP-HP; of these, 86% represented hospitalisation days saved using RAS in urological procedures. Using RAS instead of open surgery or laparoscopy (particularly in urological procedures) reduced the median LOS and may save thousands of hospitalisation days every year. This should help to increase patient turnover and facilitate patient flow.
Blanc et al. (Wed,) conducted a observational in Patients requiring urological, gynaecological, colorectal, or thoracic surgical procedures (n=9,326). Robotic-assisted surgery (RAS) vs. Laparoscopy and open surgery was evaluated on Median length of hospital stay (LOS). Robotic-assisted surgery reduced the median length of hospital stay compared to open surgery across target procedures, saving an estimated 5,390 hospitalisation days over two years.