当前位置： SCI文献检索 > Interactive Cardiovascular and Thoracic Surgery期刊下所有文献 > Medico-economic impact of robot-assisted lung segmentectomy: what is the cost of the learning curve?

Medico-economic impact of robot-assisted lung segmentectomy: what is the cost of the learning curve?

Abstract：

OBJECTIVES:The objective of this study was to assess the learning curve (LC) of robot-assisted lung segmentectomy and to evaluate hospital-related costs. METHODS:We conducted a retrospective study of Robot-assisted thoracic surgery (RATS) segmentectomies performed by 1 surgeon during 5 years. Perioperative and medical device data were collected. The LC, based on operating time, was assessed by Cumulative SUM analysis and an exponential model. Cost of care was estimated using the French National Cost Study method. RESULTS:One hundred and two RATS segmentectomies were included. The LC was completed at ∼30 procedures according to both models without significant difference in patients' characteristics before or after the LC. Mean operative time decreased from 136 min [95% confidence intervals (CI) 124-149] for the first 30 procedures to 97 min (95% CI 88-107) for the last 30 procedures. Mean length of stay decreased non-significantly (P = 0.10 for linear trend) from 8.1 days (95% CI 6.1-11.0) to 6.2 days (95% CI 4.9-7.9). The overall costs for the last 30 procedures as compared with the first 30 did not significantly decrease in the primary economic analysis but significantly decreased (P = 0.02) by €1271 (95% CI -2688 to +108, P = 0.02 for linear trend) after exclusion of 1 outlier (hospitalization-related costs > €10 000). After exclusion of this outlier, costs related to EndoWrist® instruments significantly decreased by €-135 (95% CI -220 to -35, P = 0.004), whereas costs related to clips decreased non-significantly (P = 0.28). CONCLUSIONS:The LC was completed at ∼30 procedures. Inexperienced surgeons may have higher procedure costs, related to consumable medical devices and operating time.

journal_name

Interact Cardiovasc Thorac Surg

journal_title

Interactive cardiovascular and thoracic surgery

authors

Le Gac C,Gondé H,Gillibert A,Laurent M,Selim J,Bottet B,Varin R,Baste JM

doi

10.1093/icvts/ivz246

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

255-262

issue

2

eissn

1569-9293

issn

1569-9285

pii

5585951

journal_volume

30

pub_type

杂志文章

相关文献

Interactive Cardiovascular and Thoracic Surgery文献大全
  • Giant remnant of fetal circulation leading to cyanosis: pseudo-cor triatriatum dexter.

    abstract：:Remnants of the right valve of the sinus venosus, which fail to regress may present as an obstructing membrane within the right atrium as a very rare congenital anomaly. When associated with an atrial septal defect, primary cyanosis may occur due to a large right-to-left shunt. We report on a 1-week old girl with a ps...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivt561

    authors： Yerebakan C,Valeske K,Esmaeili A,Akintuerk H

    更新日期：2014-05-01 00:00:00

  • Is it possible to predict the risk of ischaemic bowel after cardiac surgery?

    abstract：:A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'Is it possible to predict the risk of ischaemic bowel after cardiac surgery?' Altogether 80 papers were found as a result of the reported search, of which 7 represented the best evidence to answer the c...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章,评审

    doi：10.1093/icvts/ivu145

    authors： Yap KH,Chua KC,Lim SL,Sin YK

    更新日期：2014-09-01 00:00:00

  • Mid-term survival after cardiac surgery in elderly patients: analysis of predictors for increased mortality.

    abstract：:This study examines and quantifies the potential risk factors for increased mid-term mortality in elderly patients (> or = 75 years old) undergoing cardiac surgery. We undertook a retrospective analysis of 840 consecutive elderly patients who underwent cardiac surgery (CABG and/or Valve) between April 1997 and March 2...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1016/j.icvts.2004.01.002

    authors： Srinivasan AK,Oo AY,Grayson AD,Lowe R,Perry RA,Fabri BM,Rashid A

    更新日期：2004-06-01 00:00:00

  • Rapid resolution of Ortner's syndrome with giant left atrium after double-valve replacement surgery.

    abstract：:Hoarseness of voice due to recurrent laryngeal nerve palsy is an uncommon manifestation of cardiothoracic disease. Ortner's syndrome is hoarseness attributed to mechanical compression of the left recurrent laryngeal nerve in association with several cardiopulmonary disease states. We here describe a rare case of Ortne...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章,评审

    doi：10.1093/icvts/ivx166

    authors： Acharya MN,Bahrami T,Popov AF,Kishore Bhudia S

    更新日期：2017-10-01 00:00:00

  • Optimal myocardial protection strategy for coronary artery bypass grafting without cardioplegia: prospective randomised trial.

    abstract：:Although hypothermia and ischaemic preconditioning (IP) are independently recognised mechanisms of cardioprotection, interactions between myocardial temperature and preconditioning have not been investigated. Therefore, this study explored the possibility of inducing IP during hypothermia and quantifying its effects a...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1510/icvts.2005.116863

    authors： Codispoti M,Sundaramoorthi T,Saad RA,Reid A,Sinclair C,Mankad P

    更新日期：2006-06-01 00:00:00

  • Late erosion of Amplatzer septal occluder device resulting in cardiac tamponade.

    abstract：:Transcatheter device closure of atrial septal defects (ASDs) is a minimally invasive technique that offers an alternative to conventional surgical repair. There are risks imposed by this technique; however, they compare favourably with risks of surgical closure. Here, we present a case of a 59-year old male with late ...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivu271

    authors： Tchantchaleishvili V,Melvin AL,Ling FS,Knight PA

    更新日期：2014-12-01 00:00:00

  • Prolyl-hydroxylase inhibitor activating hypoxia-inducible transcription factors reduce levels of transplant arteriosclerosis in a murine aortic allograft model.

    abstract：OBJECTIVES:The development of transplant arteriosclerosis, the hallmark feature of heart transplant rejection, is associated with a chronic immune response and also influenced by an initial injury to the graft through ischaemia and reperfusion. Hypoxia-inducible transcription factor (HIF)-1 pathway signalling has a pro...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivv352

    authors： Heim C,Bernhardt W,Jalilova S,Wang Z,Motsch B,Ramsperger-Gleixner M,Burzlaff N,Weyand M,Eckardt KU,Ensminger SM

    更新日期：2016-05-01 00:00:00

  • Hypogastric artery bypass in open repair of abdominal aortoiliac aneurysm: a safe procedure.

    abstract：OBJECTIVES:The aim of this study is to assess the immediate and mid-term results of hypogastric artery bypass (HAB) in open repair of abdominal aortic aneurysm (AAA). METHODS:The clinical data of 24 patients with an average age of 70.4 years [standard deviation (S.D.)+/-8.1 years] with AAA treated between January 2005...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1510/icvts.2009.216846

    authors： Milite D,Campanile F,Tosato F,Pilon F,Zaramella M

    更新日期：2010-05-01 00:00:00

  • Novel arch fenestrated stent graft for acute Stanford Type A aortic dissection with open antegrade implantation.

    abstract：OBJECTIVES:The best surgical strategy for acute Stanford Type A aortic dissection (aTAAD) involving the arch remains controversial. Here, we report on the satisfactory results following aTAAD repair using a novel arch fenestrated stent graft. METHODS:From December 2014 to December 2015, 42 aTAAD patients (27 male and ...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivx335

    authors： Zhou Q,Xue Y,Cao H,Pan J,Wang Q,Fan F,Wang D

    更新日期：2018-03-01 00:00:00

  • Blood cardioplegia for cardiac surgery in acute myocardial infarction: rat experiments with two widely used solutions.

    abstract：OBJECTIVES:Blood cardioplegia (BCP) can be used in different ways to protect the heart from ischaemia-reperfusion injury during cardiac surgery. Because there could be differences between warm and cold intermittent cardioplegia with or without warm reperfusion, we investigated the influence of 2 blood cardioplegia solu...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivy011

    authors： Boening A,Assling-Simon L,Heep M,Boengler K,Niemann B,Schipke J,Mühlfeld C,Grieshaber P

    更新日期：2018-07-01 00:00:00

  • Mid-term outcomes of congenital mitral valve surgery: Shone's syndrome is a risk factor for death and reintervention.

    abstract：OBJECTIVES:To study the recent trends and outcomes of congenital mitral valve surgery in children. METHODS:From 2008 to 2014, 84 procedures in 66 consecutive patients (41 procedures in 31 patients with mitral stenosis and 43 procedures in 35 patients with mitral regurgitation) were retrospectively evaluated. The mean ...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivx211

    authors： Sughimoto K,Konstantinov IE,d'Udekem Y,Brink J,Zannino D,Brizard CP

    更新日期：2017-11-01 00:00:00

  • Optimal bypass graft design for left anterior descending and diagonal territory in multivessel coronary disease.

    abstract：OBJECTIVES:Coronary artery bypass grafting for multivessel disease requires an appropriate graft design to avoid the competition of flow between the graft and the native vessel in order to achieve a sufficient coronary flow and durable graft patency. METHODS:Three-dimensional computational models of the left coronary ...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivu182

    authors： Koyama S,Itatani K,Yamamoto T,Miyazaki S,Kitamura T,Taketani T,Ono M,Miyaji K

    更新日期：2014-09-01 00:00:00

  • One-stage repair of an aortic dissection and aortic coarctation.

    abstract：:Ascending aortic dissection with aortic coarctation has a high mortality. There are few reports of successful surgical management of the combined condition. We report a case of a successful one-stage repair of type A aortic dissection with aortic coarctation, using an extra-anatomic bypass to connect the ascending to ...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1510/icvts.2007.157685

    authors： Cranfield KR,Brackenbury ET,Fraser SC

    更新日期：2008-02-01 00:00:00

  • Trileaflet pulmonary valve reconstruction for pulmonary regurgitation in childhood.

    abstract：:A 6-year-old boy with pulmonary regurgitation after complete repair of congenital heart disease underwent an alternative surgical repair for pulmonary valve replacement. Trileaflet pulmonary valve reconstruction using expanded polytetrafluoroethylene membrane is a clinically feasible technique for pulmonary regurgitat...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivy196

    authors： Ishimaru K,Kanaya T,Sakamoto S,Sawa Y

    更新日期：2018-12-01 00:00:00

  • Oxidized regenerated cellulose in cardiac computer tomography imaging.

    abstract：:Oxidized regenerated cellulose is widely used as a bioabsorbable topical hemostatic agent. Postoperative visualization of this material through routine chest imaging, such as conventional radiography, computer tomography (CT), magnetic resonance imaging as well as sonography, may prove difficult and, to our knowledge,...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1510/icvts.2010.260547

    authors： Syburra T,Weishaupt D,Graves K,Genoni M

    更新日期：2011-04-01 00:00:00

  • Right paracardiac mass due to organized pericardial hematoma around retained epicardial pacing wires following aortic valve replacement.

    abstract：:The use of temporary epicardial pacing wires during cardiac surgery is a routine procedure and has been associated with low morbidity. We describe a rare case of right paracardiac mass due to organized pericardial hematoma with right atrial compression around the epicardial pacing wires left in-situ, presenting three ...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1510/icvts.2010.264853

    authors： Kapoor A,Syal S,Gupta N,Gupta A

    更新日期：2011-07-01 00:00:00

  • Primary synovial sarcoma of the lung successfully resected under temporary bypass.

    abstract：:A 48-year old man presented with chest pain and haemoptysis. Chest computed tomography showed a 60-mm mass in the left upper lobe of the lung, adjacent to the distal aortic arch. Bronchoscopic cytology revealed the presence of malignant cells and, in the absence of evidence of distant metastasis, a thoracotomy was per...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivt234

    authors： Ichimura H,Kikuchi S,Ozawa Y,Matsuzaki K

    更新日期：2013-09-01 00:00:00

  • Morphological features of the thoracic aorta and supra-aortic branches in patients with acute Type A aortic dissection in China.

    abstract：OBJECTIVES:This study aimed to investigate the morphological characteristics of the dissected thoracic aorta and brachiocephalic arteries within the Chinese population. METHODS:A retrospective analysis of computed tomography scans of 387 patients with acute Type A aortic dissection was carried out. The dimensions of t...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivy110

    authors： Wu JL,Zhang L,Qiu JT,Yu CT

    更新日期：2018-10-01 00:00:00

  • Late extrusion of pulmonary plombage outside the thoracic cavity.

    abstract：:Plombage, a variant of collapse therapy for patients with pulmonary tuberculosis that uses a variety of foreign materials, was undertaken until the 1950s before the invention of effective antimicrobial therapy. Complications related to previous plombage procedures are not uncommon. Management of these complications ca...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1510/icvts.2009.220699

    authors： Yadav S,Sharma H,Iyer A

    更新日期：2010-05-01 00:00:00

  • Endocarditis after transfemoral aortic valve implantation in a patient with Osler-Weber-Rendu syndrome.

    abstract：:Transcatheter aortic valve implantation (TAVI) was introduced five years ago (2007) as an alternative treatment for patients with severe aortic stenosis, who are considered at too high a risk for surgical replacement. Few cases of postoperative infection by TAVI device are reported in the literature. We report the cas...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivs230

    authors： Castiglioni A,Pozzoli A,Maisano F,Alfieri O

    更新日期：2012-09-01 00:00:00

  • Recurrent left ventricular pseudoaneurysm with an ominous presentation.

    abstract：:We present a case of a 58-year-old male with a recurrent left ventricular pseudoaneurysm. Two years before, the patient underwent repair of an apical aneurysm with a thrombus, which was very likely infected and complicated by huge pseudoaneurysm. The dramatic presentation of the recurrent pseudoaneurysm, as it invaded...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivaa097

    authors： Seabra D,Moreno N,Pissarra D,Amorim M

    更新日期：2020-09-01 00:00:00

  • Early outcomes of lung transplantation for bronchiolitis obliterans syndrome after allogeneic haematopoietic stem cell transplantation: a single-centre experience.

    abstract：OBJECTIVES:Bronchiolitis obliterans syndrome (BOS) is a serious late complication following allogeneic haematopoietic stem cell transplantation (allo-HSCT) and is associated with chronic graft-versus-host disease. However, the outcome of medical treatment for BOS, mainly immunosuppressive therapy, is disappointing. Thi...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivw231

    authors： Jung HS,Lee JG,Yu WS,Lee CY,Haam SJ,Paik HC

    更新日期：2016-12-01 00:00:00

  • Reduction of aberrant aortic haemodynamics following aortic root replacement with a mechanical valved conduit.

    abstract：OBJECTIVES:Previous work suggests that aortic root and valve prostheses alter blood flow patterns in the ascending aorta, creating aberrant haemodynamics compared with those of healthy volunteers. Various valve designs have been proposed to better restore physiological haemodynamics. In this study, magnetic resonance i...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivw173

    authors： Keller EJ,Malaisrie SC,Kruse J,McCarthy PM,Carr JC,Markl M,Barker AJ,Collins JD

    更新日期：2016-09-01 00:00:00

  • Spontaneous rupture of a coronary artery fistula presenting with post-exertional syncope and haemopericardium.

    abstract：:An 8-year-old with a known diagnosis of an asymptomatic coronary artery fistula (CAF) presented with exertional syncope and haemopericardium due to contained rupture of CAF. A transcatheter closure was attempted, but the fistula ruptured again prompting emergency surgical repair. Spontaneous rupture is a catastrophic ...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivaa317

    authors： Desai MH,Olivieri LJ,Ramakrishnan KV,Downing TE

    更新日期：2020-12-24 00:00:00

  • Left ventricular outflow tract obstruction by transatrial left ventricular cannulation.

    abstract：:Transatrial cannulation of the left ventricle was introduced as a safe and easy cannulation method for antegrade arterial return in type A aortic dissection. However, because of the paucity of clinical reports, little is known about the complications or shortcomings of this technique. Herein, we report a case of pulmo...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivz190

    authors： Nakahara Y,Kanemura T,Shioya M,Yamana K

    更新日期：2019-12-01 00:00:00

  • Initial clinical impact of drug eluting stents on coronary artery bypass graft surgery.

    abstract：:Drug eluting stents (DESs) reduce the incidence of restenosis after percutaneous coronary intervention (PCI) and have been predicted to decrease the number of patients referred for coronary artery bypass grafting (CABG). We studied about the impact of DESs on CABG. We compared our isolated CABG patients over two years...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1510/icvts.2007.159798

    authors： Kanemitsu S,Tanaka K,Tanaka J,Suzuki H,Kinoshita T

    更新日期：2007-10-01 00:00:00

  • Adverse events of pulmonary vascular stapling in thoracic surgery.

    abstract：OBJECTIVES:The use of staplers for thoracic surgery has been widely accepted and regarded as a safe procedure. However, adverse events (AEs) of stapling are occasionally experienced. The aim of this retrospective study was to analyse the AEs of stapling in pulmonary vascular surgery. METHODS:A retrospective multi-inst...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章,多中心研究

    doi：10.1093/icvts/ivt130

    authors： Yano M,Takao M,Fujinaga T,Arimura T,Fukai I,Ota S,Saito Y,Okuda K

    更新日期：2013-08-01 00:00:00

  • Cardiac myxoma: preoperative diagnosis using a multimodal imaging approach and surgical outcome in a large contemporary series.

    abstract：:Diagnosis of cardiac myxoma is typically suggested in the presence of symptoms and echocardiographic findings of an intracardiac mass and confirmed histologically. Coronary angiography (CA) and cardiac magnetic-resonance-imaging (MRI) may provide specific additional information which could lead to a precise preoperati...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1510/icvts.2007.154096

    authors： Rahmanian PB,Castillo JG,Sanz J,Adams DH,Filsoufi F

    更新日期：2007-08-01 00:00:00

  • Mediastinoscopy-assisted oesophagectomy in T1 oesophageal cancer patients with serious comorbidities: a 5-year long-term follow-up.

    abstract：OBJECTIVES:Transthoracic oesophagectomy is associated with high morbidity and mortality. Some oesophageal cancer (OC) patients with serious comorbidities cannot tolerate transthoracic oesophagectomy. Therefore, we have adopted a minimally invasive approach to oesophagectomy for such patients. METHODS:Eighty-five OC pa...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章

    doi：10.1093/icvts/ivu433

    authors： Wang J,Jiang NQ,Jiang B,Wang ZL,Zhang XY

    更新日期：2015-04-01 00:00:00

  • Is it safe to stop anticoagulants after successful surgery for atrial fibrillation?

    abstract：:A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was: is it safe to stop anticoagulants after successful surgery for atrial fibrillation? Altogether, 177 papers were found using the reported search, of which 14 were selected that represented the bes...

    journal_title：Interactive cardiovascular and thoracic surgery

    pub_type： 杂志文章,评审

    doi：10.1510/icvts.2011.282319

    authors： Michael Gray R,Nagendran M,Maruthappu M

    更新日期：2011-12-01 00:00:00