Health Technology Assessment: Opening pathway for implementing Robotic Surgery in a University Teaching Hospital.

Introduction: Health Technology Assessment (HTA) is a systematic multidisciplinary activity which assesses application of health technology. Surgical robots provides an improved 3D view of surgical area and a better manipulation of surgical arms as compared to conventional laparoscopic surgery. Objective of the study is to perform Cost benefit analysis of robotic surgery (RS). Originality: Original research work. Materials and Method: A retrospective cross sectional study was done for a period of 2 months. 50 robotic and 40 open surgical cases were selected. Direct & indirect costs of care were estimated along with assessment of operational costs for RS. Statistical analysis was performed. Correlation of length of stay (LOS) was done with direct and indirect costs incurred. Results: Robotic surgery is a high end CapEx model but financially viable. A positive NPV was seen with ROI in the 5th year. Operational cost and material cost were found to be statistically higher for RS. Pharmacy cost and nursing cost showed a high degree of correlation with LOS in gynaecological oncology department. Reduced LOS, less pain and faster recovery are the major positive impact that harbinger the socioeconomic benefit. Surgeons too have greater visualization and dexterity. RS provides better patient care by shortening recovery period and post-operative care. Conclusion: HTA is 'a bridge' between evidence and policy-making. It guides decision-makers about appropriate use of technology and efficient allocation of resources. RS is an advanced approach which significantly improves patient care and provides more flexibility and precision to surgeons. [ABSTRACT FROM AUTHOR]