A comparison of financial and operational efficiency between smart and traditional insufflation for laparoscopic surgery: A granular analysis  

作　　者：Aazad Abbas Imran Saleh Graeme Hoit Gurjovan Sahi Sam Park Jihad Abouali Cari Whyne Jay Toor 

机构地区：[1]Division of Orthopaedic Surgery,University of Toronto,149 College Street Room 508-A,Toronto,ON,M5T 1P5,Canada [2]Orthopaedic Biomechanics Lab,Sunnybrook Research Institute,2075 Bayview Avenue,Toronto,ON,Canada [3]Department of Mechanical and Industrial Engineering,University of Toronto,5 King's College Road,Toronto,ON,M5S 3G8,Canada [4]Faculty of Medicine,University of Toronto,1 King's College Circle,Toronto,ON,M5S 1A8,Canada [5]University of Toronto Orthopaedics Sports Medicine,Women's College Hospital,76 Grenville St,Toronto,ON,Canada [6]Division of Orthopaedic Surgery,Michael Garron Hospital,825 Coxwell Avenue,Toronto,ON,M4C 3E7,Canada [7]Division of Orthopaedic Surgery,Sunnybrook Health Science Centre,2075 Bayview Avenue,Toronto,ON,Canada [8]Department of Orthopaedic Surgery,University of Manitoba,820 Sherbrook Street,Winnipeg,MB,Canada

出　　处：《Laparoscopic, Endoscopic and Robotic Surgery》2023年第3期97-102,共6页腔镜、内镜与机器人外科（英文）

基　　金：funding to conduct this study was provided by a research innovation grant provided by CONMED Corporation(#IRB 22-0113-C).

摘　　要：Objective:Smart insufflation(SI)techniques relying on valve and membrane-free insufflation are increasing in usage.Although considerable literature exists demonstrating the benefits of SI on procedural ease and patient outcomes,there remains a paucity describing the financial impact of these devices.The purpose of this study was to determine the financial and efficiency impact of these devices on the operating room and inpatient wards of a hospital.Methods:A discrete event simulation model representing a typical mid-sized North American hospital comparing SI to traditional insufflation(TI)was generated.The National Surgical Quality Improvement database from 2015 to 2019 was used to populate the model with data supplemented from the literature.Outcomes included length of stay(LOS),duration of surgery(DOS),annual procedure volume,profit,return on investment(ROI),and gross profit margin(GPM).From the literature review,DOS savings were 10e32 minutes/case,while LOS savings were 0e3 days/case.Results:Implementation of an SI led to an increase in annual throughput of 42e346(4.4%e36.6%)cases for all procedures and 38 to 297(4.3%e33.3%)cases for complex procedures.LOS was found to be decreased by 175e614(18.3%e64.2%)days for all procedures and 231 to 614(35.6%e77.9%)cases for complex procedures with the implementation of an SI.Together,this resulted in an increase in net profit of$104,685 per annum.The ROI of SI over the TI device was>1000%,and the GPM for the TI was 90.0%,while the GPM for the SI was 71.7%.Conclusion:Despite the initial financial investment being greater,the implementation of SI offsets these expenses and yields significant financial benefits.Our study demonstrates the financial benefits of SI over TI and illustrates how granular operational and financial analyses of technologies are essential to aid in sound healthcare procurement decision making.

关 键 词：INSUFFLATION Airseal Surgical efficiency Financial impact 

分 类 号：R656[医药卫生—外科学]