Table 1A.
Costs per robotic surgery case in Japan
| Contents | Items | Cost: US $ |
|---|---|---|
| Surgeon’s fee | Surgeons receive only their basic salary | 0 |
| dVS equipment fee; based on 100 procedures/year (all specialties) | $5859* | |
| Medical materials | Cadiere forceps (Usable in 10 procedures) | $578 |
| Monopolar curved scissors (Usable in 10 procedures) | $853 | |
| Maryland bipolar forceps (Usable in 10 procedures) | $780 | |
| Permanent cautery spatula (Usable in 10 procedures) | $578 | |
| Drape, instrument arm (Disposable) | $404 | |
| Drape, camera arm (Disposable) | $114 | |
| Drape, camera (Disposable) | $96 | |
| Cannula seals (Disposable) | $173 | |
| Total for da Vinci instrument items | $3575# | |
| Maintenance cost | $2250** | |
| Total ( = Cost/one robotic surgery case) | $11684*** | |
Table 1A shows the cost for the da Vinci® Surgical System (dVS) operation on the assumption of 100 cases in 1 institution per year with the projected Japanese National Health Insurance System (JNHIS) reimbursement system. *repayment cost/operation, **running cost/operation, ***cost/one-robotic case operation, #medical materials cost for the dVS/operation