No Savings With Less Invasive Hysterectomy
A rapid transition from open to minimally invasive surgery for hysterectomy failed to reduce costs at one large medical center, investigators reported here.
Over a 4-year period, the proportion of minimally invasive procedures increased from fewer than 10 percent to almost two-thirds of all hysterectomies performed at the center.
The per-procedure cost of minimally invasive hysterectomies also increased, and by the end of the 4 years, a minimally invasive procedure cost about the same as an open procedure had cost at the beginning of the transition, according to Neel Shah, MD, of Massachusetts General Hospital in Boston.
Much of the added cost came from longer operating times, as the mean duration of minimally invasive procedures increased by more than 50 percent, he reported at the Society of Gynecologic Oncology meeting.