• Xinhua Yu, Deirdre Lum, Tuyen K Kiet, Katherine C Fuh, James Orr, Rebecca A Brooks, Stefanie M Ueda, Lee-May Chen, Daniel S Kapp, and John K Chan.
• Department of Epidemiology and Biostatistics, School of Public Health, University of Memphis, Memphis, TN, USA.
• J Surg Oncol. 2013 May 1;107(6):653-8.

Background And ObjectivesTo analyze the utilization and hospital charges associated with robotic (RS) versus laparoscopic (LS) versus open surgery (OS) in endometrial cancer patients.MethodsHospital discharge data were extracted from Florida Agency for Health Care Administration between October 2008 and December 2009.ResultsOf 2,247 patients (median age: 64 years), 29% had RS, 10% had LS, and 61% had OS. The mean length of hospital stay was 1.6, 1.8, and 3.9 days for RS, LS, and OS, respectively (P < 0.001). The median hospital charge was $51,569, $37,202, and $36,492, for RS, LS, and OS (P < 0.001), with operating room charges ($22,600, $13,684, and $11,272) accounting for the major difference. Robotic surgery utilization increased by 11% (23-34%) over time.ConclusionsIn this statewide analysis of endometrial cancer patients, the utilization of robotic surgery increased and is associated with higher hospital charges compared to laparoscopic and open procedures.Copyright © 2012 Wiley Periodicals, Inc.

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