Oct 4, 2010
DaVinci surgery, how much does it really cost?
What is the real cost of a DaVinci system and how much does it cost to run it? It is probably not a suprise to learn that costs can be very high.
The price for a single system, can be anything between 1.75 mUS$ in the US (1) to about 2 m€ in Italy (2,3).
The associated costs are annual service fees (approx. 10% of the initial investment/year) and disposable instruments for around 1500-2200 USD per use (4).
On top of that, manufacturer-provided training programs cost between 3000-3500 US$ per surgeon for a 1 or 2-day session.
Interesting enough, surgeons need the same OR organisation as per a conventional laparoscopic approach, i.e. scrub nurse, OR nurse and, yes, a surgeon assistant !
Finally, there is a new learning curve associated with effective use the of da Vinci surgical system.
Break-even seems hard to reach, depending on the procedure type and number of cases per year, aditional costs per procedure can exceed 3000€ (2,4-7) vs. conventional laparoscopic approach.
4) Morino et al. in Mastery of endoscopic and laparoscopic surgery
(NJ Soper, LL Swanström, WS Eubanks; Wolters Kluwer 2009)
5) Robot-Assisted Radical Prostatectomy: The New Gold Standard? (http://www.europeanurology.com/article/S03022838(10)000278/pdf/Robot-Assisted+Radical+Prostatectomy%3A+The+New+Gold+Standard%3F)
6) G. Hubens, M. Ruppert, L. Balliu,W. Vaneerdeweg, What Have we Learnt after Two Years Working with the Da Vinci Robot System in Digestive Surgery? Acta chir belg, 2004, 104, 609-614
7) Economic evaluations in The da Vinci Surgical Robotic System: A Review Of The Clinical And Cost- Effectiveness, HTIS 2008 (http://www.cadth.ca/media/pdf/htis/L0052%20daVinci%20Robotic%20Surgical%20System%20final.pdf)