Comparison of economic and environmental impacts between disposable and reusable instruments used for laparoscopic cholecystectomy
The economic and environmental effects were compared between disposable and reusable instruments used for laparoscopic cholecystectomy. Special consideration was given to the processing of reusable instruments in the Miele G 7736 CD MCU washer disinfector and the resultant cost of sterilization.
The instruments frequently used in their disposable form were identified with the help of surgeons. Thus, of all the instruments used for laparoscopic cholecystectomy, the disposable and reusable versions of trocars, scissors, and Veress cannula were compared.
For the case examined in this study, the performance of laparoscopic cholecystectomy with disposable instruments was 19 times more expensive that for reusable instruments. The higher cost of using disposable instruments is primarily attributable to the purchase price of the instruments. The processing of reusable instruments has little significance in terms of cost, whereas the cost for disposing of disposable instruments is the least significant factor. The number of laparoscopic cholecystectomies performed per year does not substantially influence cost. In the authors’ opinion, assessment of the environmental consequences shows that reusable instruments are environmentally advantageous.
Considering the upward pressure of costs in hospitals, disposable instruments should be used for laparoscopic cholecystectomy only if they offer clear advantages over reusable instruments.
KeywordsLaparoscopic cholecystectomy Sterilization costs Disposable instruments Reusable instruments Environmental effects
- 3.Deutsches Institut fur Normung (1981) DIN 58946-3: Sterilization, Dampf-Sterilisatoren, Prüfung auf Wirksamkeit. Berlin, Erich Beuth Verlag, 1981 [German Institute for Standardization, DIN 58946-3: sterilization, steam sterilizers, examination on effectiveness]Google Scholar
- 4.Heyne, L 1995Energieverbrauch und kosten auf dem PrüfstandKrankenhaustechnik21101106Google Scholar
- 6.Löbbert, FJ 1998Ohne Mief: Moderne Inkontinenz Logistik in Krankenhäusern [No fug: modern age incontinence logistics in hospitals]Krankenhaustechnik1/22223Google Scholar
- 7.Nationales Referenzzentrum für Krankenhaushygiene1999Anwendung von Reinigungs und Desinfektionsmaschinen in Krankenhaus und PraxisKrh Hyg Inf Verh212228Google Scholar
- 10.Sourhada, L 1993Reusables may slow the rising tide of laparoscopic surgery costsMater Manag Health Care222Google Scholar