Switching to reusable instruments in laparoscopic cholecystectomy can significantly cut costs and emissions.

• Implementing reusable trocars and clip applicators can lower emissions by 9.5 kg CO₂-eq. per procedure (-21%) and lead to cost savings in over 93% of scenarios.
• Total interventions yield a 36% reduction in carbon footprint (16.5 kg CO₂-eq. per procedure).

Adopting these practices not only benefits the environment but also improves the economic efficiency of surgical operations.

• Avoiding forced-air heating and using total intravenous anesthesia further enhance sustainability and savings.