Universität zu Köln

Wahba, R., Urbanski, A., Datta, R. R., Kleinert, R., Bruno, L. and Zervakis, A. (2022). Operating room time savings in Germany- and UK-based hospitals with 3D-VS. 2D-imaging technology in laparoscopic surgery: Meta analysis and budget impact model - Health economic evaluation. Int. J. Surg., 102. AMSTERDAM: ELSEVIER. ISSN 1743-9159

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Abstract

Aims: Opportunity cost (OC) analysis is key when evaluating surgical techniques. Operating room (OR) time is one potential source of OC in laparoscopic surgery. This study quantifies differences in OR time between 3D- and 2D-imaging technology in laparoscopic surgery, translates these into OC and models the economic impact in realworld hospitals. Methods: First a systematically performed literature review and meta-analysis were conducted. Then, methods to translate OR time savings into OC were theorised and a budget impact model was created. After that, the potential time savings of real-world hospital case mixes were extrapolated. Finally, the opportunity costs of not using 3D-imaging in laparoscopic surgery were evaluated. Results: Average OR time saving per laparoscopic procedure was -19.4 min (-24.3; -14.5) (-14%) in favour of 3D. The Budget Impact Model demonstrated an economic impact of using 3D-laparoscopy instead of 2D laparoscopy, ranging from 183,045- pound 866,316 pound in the British and 73,049euro-437,829euro in German hospitals, modelling a mixture of cost savings and performing additional procedures (earning additional revenue). Conclusion: The OC analysis revealed significant economic benefits of introducing 3D-imaging technology in laparoscopic surgery, on the basis that average procedure time is reduced. Utilising the saved OR time to perform additional procedures was the biggest driver of OC. Hospital case mix and procedure volume indicated the magnitude of the OC.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wahba, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Urbanski, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Datta, R. R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kleinert, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruno, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zervakis, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-674395
DOI:	10.1016/j.ijsu.2022.106643
Journal or Publication Title:	Int. J. Surg.
Volume:	102
Date:	2022
Publisher:	ELSEVIER
Place of Publication:	AMSTERDAM
ISSN:	1743-9159
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RADICAL PROSTATECTOMY; 2-DIMENSIONAL LAPAROSCOPY; SURGICAL PERFORMANCE; 3-DIMENSIONAL 3D; IMAGING-SYSTEMS; GASTRIC-CANCER; 2D; OUTCOMES; VISION; HYSTERECTOMY Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67439