摘要
由一名新闻记者-机器人与机器学习的工作人员新闻编辑每日新闻-外科新研究-肝脏切除是一篇报道的主题。根据NewsRx记者来自荷兰Ams Terdam的新闻报道，研究表明：“通过机器人辅助的方法进行的微创肝脏手术(MILS)越来越多，但可能与成本增加有关。本研究是对大容量中心机器人肝脏切除(RLR)和腹腔镜肝脏切除(LLR)的医疗成本支出进行事后比较。”我们的新闻编辑引用了阿姆斯特丹大学医学中心的研究，“在回顾性系列中（2015年10月-2022年12月）计算了每位患者的住院和术后30天的医疗费用。总共纳入298例患者（143例RLR和155例LR）。RLR的好处是降低了治愈率（2.8%vs 12.3%，P=0.002），缩短了手术时间（167分钟vs 198分钟。”P=0.044)，失血量较少（50 mL vs 200 mL，P<0.001）。RLR（0260欧元）和DLR（931欧元）的每次手术总成本没有明显差异（平均差异29欧元[95%引导置信区间(BCI)欧元1179-欧元120]）。RLR由于手术和手术室时间较短而降低的成本被较高的一次性器械成本抵消，导致可比的手术内成本247欧元平均差异为12欧元[95%BCI为25欧元-48欧元])。RLR(701欧元)和LR(684欧元)的术后费用相似，平均差异为7欧元[95%BCI为1357欧元-727欧元]。当还考虑购买和维护成本时，RLR导致每次手术的总费用增加。
Abstract
By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Surgery-Liver Resect ion is the subject of a report. According to news reporting originating from Ams terdam, Netherlands, by NewsRx correspondents, research stated, "Minimally invas ive liver surgery (MILS) is increasingly performed via the robot-assisted approa ch but may be associated with increased costs. This study is a post-hoc comparis on of healthcare cost expenditure for robotic liver resection (RLR) and laparosc opic liver resection (LLR) in a high-volume center." Our news editors obtained a quote from the research from Amsterdam University Me dical Center, "In-hospital and 30-day postoperative healthcare costs were calcul ated per patient in a retrospective series (October 2015-December 2022). Overall , 298 patients were included (143 RLR and 155 LLR). Benefits of RLR were lower c onversion rate (2.8% vs 12.3%, p = 0.002), shorter op erating time (167 min vs 198 min, p = 0.044), and less blood loss (50 mL vs 200 mL, p<0.001). Total per-procedure costs of RLR (€0260) an d LLR (€931) were not significantly different (mean difference €29 [95% bootstrapped confidence interval (BCI) €1179-€120] ). Lower costs with RLR due to shorter surgical and operating room time were off set by higher disposable instrumentation costs resulting in comparable intraoper ative costs (€559 vs €247, mean difference €12 [95% BCI €25-€48]). Postoperative costs were similar for RLR (€ 701) and LLR (€684), mean difference €7 [95% BCI €1357-€727]. When also considering purchase and mainten ance costs, RLR resulted in higher total per-procedure costs."
NETL
NSTL