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Related Experiment Videos

Disposable versus reusable instruments in laparoscopic cholecystectomy. A prospective, randomised study

V Paolucci1, B Schaeff, C N Gutt

  • 1Department of General Surgery, Johann-Wolfgang-Goethe University, Frankfurt am Main, Germany.

Endoscopic Surgery and Allied Technologies
|April 1, 1995
PubMed
Summary

This study compared disposable and reusable laparoscopic instruments for cholecystectomy. Reusable instruments were associated with more intraoperative difficulties but were significantly more cost-effective, despite longer operation times.

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[Not Available].

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Area of Science:

  • Laparoscopic surgery
  • Surgical instrumentation
  • Cost-effectiveness analysis

Background:

  • Laparoscopic cholecystectomy is a common surgical procedure.
  • The choice between disposable and reusable surgical instruments impacts surgical outcomes and costs.
  • Optimizing instrument selection is crucial for efficient and safe patient care.

Purpose of the Study:

  • To compare the advantages and disadvantages of disposable versus reusable laparoscopic instruments.
  • To evaluate the impact of instrument type on surgical outcomes, patient recovery, and cost.
  • To provide data for informed decision-making in surgical practice.

Main Methods:

  • Prospective, randomized study involving 158 cholecystectomies.
  • Patients allocated to either reusable (n=80) or disposable (n=78) instrument groups.

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  • Key parameters recorded: surgery duration, complications, technical issues, conversion rates, pain, hospital stay, return to work, and personnel evaluation.

    • Main Results:

    • No significant differences in subjective pain, postoperative complications, hospitalisation time, or return-to-work duration.
    • Disposable instruments showed a non-significant trend towards faster surgery and fewer conversions.
    • Reusable instruments had a statistically significant increase in intraoperative, instrument-related difficulties.
    • Reusable instruments were associated with an average cost saving of 1,015 DM per procedure despite longer operation times and higher personnel costs.

    Conclusions:

    • While reusable instruments present more intraoperative challenges, they offer significant cost advantages for cholecystectomy.
    • The choice of instrument type involves a trade-off between operational efficiency and cost-effectiveness.
    • Further research may explore strategies to mitigate intraoperative difficulties with reusable instruments.