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Master Thesis

La médico-économie peut-elle contribuer à l’efficience d’un programme local de chirurgie urologique robot-assistée ?

Abstract : The Da Vinci® surgical system allows surgeons to perform minimally invasive surgery. It has been developped to solve the ergonomic problems of laparoscopy. It offers similar performances as open surgery with a better functional recovery. Despite its late introduction in Europe in comparison with the United States, it is now part of our surgical culture. In 2018, 213 robotic urological surgeries were performed at Nantes university hospital. Despite this enthusiasm, the financial aspects and the efficiency of robotic surgery are still questioned. Therefore, we realized a medico-economic assessment of robotic cystectomies, partial nephrectomies and prostatectomies performed at Nantes university hospital in 2018. We used the National costs study. The financial balance, which is globally in deficit, is heterogeneous considering the type of intervention. We also proposed a cost containment approach, depending on the identified cost items, which could make robotic surgery more profitable.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03526644
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Submitted on : Friday, January 14, 2022 - 4:09:07 PM
Last modification on : Wednesday, March 23, 2022 - 3:37:53 AM
Long-term archiving on: : Friday, April 15, 2022 - 7:08:11 PM

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Pierre Madé. La médico-économie peut-elle contribuer à l’efficience d’un programme local de chirurgie urologique robot-assistée ?. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03526644⟩

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