机器人外科学杂志（中英文）2025，Vol.6Issue(3)：383-387,5.DOI:10.12180/j.issn.2096-7721.2025.03.006
双孔机器人手术与单孔胸腔镜手术治疗非小细胞肺癌的成本效益分析
Cost-effectiveness analysis of dual-portal robot-assisted thoracic surgery and uniportal video-assisted thoracoscopic surgery in the treatment of non-small cell lung cancer
摘要
Abstract
Objective:To explore the cost-effectiveness of dual-portal robot-assisted thoracic surgery(DRATS)versus uniportal video-assisted thoracic surgery(UVATS)in patients undergoing these procedures.Methods:Patients with non-small cell lung cancer(NSCLC)who underwent surgery at Qingdao Municipal Hospital from January to and October 2022 were enrolled.They were divided into the DRATS group and the UVATS group based on different surgical approaches.A Markov decision process model was developed to simulate disease progression during the first and second year after surgery,assessing medical costs and outcomes to evaluate the cost-effectiveness of DRATS versus UVATS.Results:Within the first year after surgery,the DRATS group gained 0.01 additional quality-adjusted life years(QALYs)compared to the UVATS group,with an incremental cost-effectiveness ratio(ICER)of 57 307.00 USD/QALY.Over a two-year postoperative period,the DRATS group incurred an incremental cost of 1720.26 USD and gained 0.04 additional QALYs,resulting in an ICER of 43 006.50 USD/QALY.The cost-effectiveness of DRATS is also influenced by the learning curve.Based on the willingness-to-pay threshold in Shandong Province,DRATS did not demonstrate significant cost-effectiveness.Conclusion:DRATS could improve patients'quality of life,with incremental benefits over a two-year follow-up.Surgeons'extensive experience and cohesive teamwork can enhance the cost-effectiveness of DRATS.However,the high costs of DRATS remain a critical limitation,rendering it more cost-effective in socioeconomically developed regions.关键词
非小细胞肺癌/单孔胸腔镜手术/达芬奇机器人手术/成本效益Key words
Non-small Cell Lung Cancer/Uniportal Video-assisted Thoracoscopic Surgery/Da Vinci Robot-assisted Thoracic Surgery/Cost-effectiveness分类
医药卫生引用本文复制引用
王树民,李飞,褚恒,张哲..双孔机器人手术与单孔胸腔镜手术治疗非小细胞肺癌的成本效益分析[J].机器人外科学杂志（中英文）,2025,6(3):383-387,5.基金项目
国家自然科学基金(2204152)National Natural Science Foundation of China(2204152) （2204152）
