Comparative Economic and Clinical Analysis of Robotic, Laparoscopic, and Open Approaches in Hepatopancreatic Surgery

Highlights

• Minimally invasive surgery (MIS) for liver and pancreas resections is associated with significantly lower hospital charges compared to traditional open surgery.
• Robotic surgery adoption in hepatopancreatic procedures increased from 1.7% to 4.2% between 2016 and 2020, yet open surgery remains the dominant modality (87.7%).
• Laparoscopic pancreatic resections yield the highest cost savings, with a reduction in adjusted charges of approximately $52,120 relative to open approaches.
• The presence of postoperative complications and late discharge timing are the most potent predictors of increased hospital charges, adding over $80,000 to the median cost.

Background