Journal of Robotic Surgery

, Volume 13, Issue 4, pp 607–608 | Cite as

Costs–benefits of robot-assisted colorectal surgery: a different perspective

  • Matteo BianchiniEmail author
  • Simone Guadagni
  • Luca Morelli
Letter to the Editor


The costs of robot-assisted surgery (RAS) still represent a critical issue. Kulaylat et al. reported a propensity-matched study to compare the outcomes of colorectal surgery between a robotic and a laparoscopic group, concluding that RAS was burdened by higher costs. However, authors did not mention what da Vinci system, Si or Xi, they used and this could be crucial, as recently data published by our group on rectal resections showed that the use of the da Vinci Xi and the surgeon’s increased experience could improve the results and significantly reduce the costs of RAS.


Robotics costs Robot-assisted surgery Da Vinci Xi 


Compliance with ethical standards

Conflict of interest

Dr. Matteo Bianchini, Dr. Simone Guadagni, and Prof. Luca Morelli declare that they have no conflict of interest.


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    Morelli L, Di Franco G, Lorenzoni V, Guadagni S, Palmeri M, Furbetta N, Gianardi D, Bianchini M, Caprili G, Mosca F, Turchetti G, Cuschieri A. Structured cost analysis of robotic TME resection for rectal cancer: a comparison between the da Vinci Si and Xi in a single surgeon’s experience. Surg Endosc. 2018. (Epub ahead of print) Google Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  1. 1.General Surgery Unit, Department of Oncology, Transplantation and New TechnologiesUniversity of PisaPisaItaly
  2. 2.EndoCAS (Center for Computer Assisted Surgery)University of PisaPisaItaly

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