{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:20:36Z","timestamp":1789518036884,"version":"build-2803163510"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["80-86800-98-112"],"award-info":[{"award-number":["80-86800-98-112"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003246","name":"Nederlandse Organisatie voor Wetenschappelijk Onderzoek","doi-asserted-by":"publisher","award":["KICH1.MV02.22.017"],"award-info":[{"award-number":["KICH1.MV02.22.017"]}],"id":[{"id":"10.13039\/501100003246","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1007\/s00464-025-12471-0","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T16:19:12Z","timestamp":1766161152000},"page":"2210-2221","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Reducing the carbon footprint and costs of laparoscopic cholecystectomy: a modelling study on interventions for sustainable surgery"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9676-1206","authenticated-orcid":false,"given":"Stijn","family":"Bluiminck","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myrthe M. M.","family":"Eussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma J.","family":"Kooistra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daan J.","family":"Comes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey","family":"de Nes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frans T. W. E.","family":"van Workum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo R. W.","family":"Touw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole D.","family":"Bouvy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Stobernack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip R.","family":"de Reuver","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"12471_CR1","doi-asserted-by":"crossref","unstructured":"Karliner J, Slotterback S, Boyd R, Ashby B, Steele K (2019) Health care\u2019s climate footprint. How the health sector contributes to the global climate crisis and opportunities for action. Health Care Without Harm Climate-smart health care series green paper number one. Produced in collaboration with Arup.","DOI":"10.1093\/eurpub\/ckaa165.843"},{"issue":"3","key":"12471_CR2","doi-asserted-by":"publisher","first-page":"1779","DOI":"10.1021\/es504719g","volume":"49","author":"CL Thiel","year":"2015","unstructured":"Thiel CL, Eckelman M, Guido R, Huddleston M, Landis AE, Sherman J et al (2015) Environmental impacts of surgical procedures: life cycle assessment of hysterectomy in the United States. Environ Sci Technol 49(3):1779\u20131786","journal-title":"Environ Sci Technol"},{"key":"12471_CR3","unstructured":"England N (2020) Delivering a \u2018net zero\u2019 national health service. NHS England"},{"key":"12471_CR4","unstructured":"European Commission (2019) The European Green Deal - Striving to be the first climate-neutral continent. European Commission 2019. Available from: https:\/\/commission.europa.eu\/strategy-and-policy\/priorities-2019-2024\/european-green-deal_en"},{"key":"12471_CR5","doi-asserted-by":"crossref","unstructured":"Comes DJ, Bluiminck S, Kooistra EJ, de Nes L, van Workum F, Touw H et al (2024) The carbon footprint of a laparoscopic cholecystectomy. Br J Surg 111(9)","DOI":"10.1093\/bjs\/znae225"},{"key":"12471_CR6","unstructured":"Potting J, Hekkert M, Worrell E, Hanemaaijer (2017). Circular economy: measuring innovation in the product chain. PBL Netherlands Environmental Assessment Agency"},{"issue":"6","key":"12471_CR7","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1177\/08404704231183601","volume":"36","author":"S Aboueid","year":"2023","unstructured":"Aboueid S, Beyene M, Nur T (2023) Barriers and enablers to implementing environmentally sustainable practices in healthcare: a scoping review and proposed roadmap. Healthc Manage Forum 36(6):405\u2013413","journal-title":"Healthc Manage Forum"},{"key":"12471_CR8","doi-asserted-by":"crossref","unstructured":"Bajwa B, Zhang Z, Tuen YJ, Courtemanche R, JS Arneja (2025) How can non-hospital surgical centres improve their environmental footprint (and reduce costs)? Plast Surg (Oakv). 22925503241305635","DOI":"10.1177\/22925503241305635"},{"issue":"5","key":"12471_CR9","doi-asserted-by":"publisher","first-page":"279","DOI":"10.5694\/mja2.52394","volume":"221","author":"L Pillay","year":"2024","unstructured":"Pillay L, Winkel KD, Kariotis T (2024) Developing the green operating room: exploring barriers and opportunities to reducing operating room waste. Med J Aust 221(5):279\u2013284","journal-title":"Med J Aust"},{"issue":"7","key":"12471_CR10","doi-asserted-by":"publisher","first-page":"4354","DOI":"10.1097\/JS9.0000000000002442","volume":"111","author":"MMM Eussen","year":"2025","unstructured":"Eussen MMM, Bluiminck S, Chambon M, Batcup C, Kooistra EJ, Stobernack T et al (2025) Perspectives on disposable and reusable surgical materials in laparoscopic surgery: a global survey amongst surgeons. Int J Surg 111(7):4354\u20134361","journal-title":"Int J Surg"},{"issue":"10","key":"12471_CR11","doi-asserted-by":"publisher","first-page":"5803","DOI":"10.1007\/s00464-024-11137-7","volume":"38","author":"TS Sathe","year":"2024","unstructured":"Sathe TS, Alseidi A, Bellato V, Ganjouei AA, Foroutani L, Hall RP et al (2024) Perspectives on sustainability among surgeons: findings from the SAGES-EAES sustainability in surgical practice task force survey. Surg Endosc 38(10):5803\u20135814","journal-title":"Surg Endosc"},{"key":"12471_CR12","doi-asserted-by":"crossref","unstructured":"Eussen MM, Moossdorff M, Wellens LM, de Reuver PR, Stobernack T, Bijlmakers L, Kimman ML, Bouvy ND (2024) Beyond single-use: a systematic review of environmental, economic, and clinical impacts of endoscopic surgical instrumentation. Int J Surg","DOI":"10.1097\/JS9.0000000000002141"},{"issue":"2","key":"12471_CR13","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1007\/s11367-016-1246-y","volume":"22","author":"MAJ Huijbregts","year":"2017","unstructured":"Huijbregts MAJ, Steinmann ZJN, Elshout PMF, Stam G, Verones F, Vieira M et al (2017) ReCiPe2016: a harmonised life cycle impact assessment method at midpoint and endpoint level. Int J Life Cycle Assess 22(2):138\u2013147","journal-title":"Int J Life Cycle Assess"},{"issue":"9","key":"12471_CR14","doi-asserted-by":"publisher","first-page":"1218","DOI":"10.1007\/s11367-016-1087-8","volume":"21","author":"G Wernet","year":"2016","unstructured":"Wernet G, Bauer C, Steubing B, Reinhard J, Moreno-Ruiz E, Weidema B (2016) The ecoinvent database version 3 (part I): overview and methodology. Int J Life Cycle Assess 21(9):1218\u20131230","journal-title":"Int J Life Cycle Assess"},{"key":"12471_CR15","unstructured":"Klein A, Hilster D, Scholten P, van Wijngaarden L, Tol E, Otten M (2021) STREAM Goederenvervoer 2020. Emissies van modaliteiten in het goedervervoer CE Delft. Report No.: 21.190235.011"},{"key":"12471_CR16","unstructured":"Bruinsma M, Nauta M (2023) Ketenemissies elektriciteit, Actualisatie elektriciteitsmix 2021 [Report]. CE Delft. Contract No.: 23.230126.185"},{"key":"12471_CR17","unstructured":"Leestemaker L, Otten M, Scholten P, Hilster D, Meijer C, Kir\u00e1ly J, van den Berg R,  Bruinsma M (2023) STREAM Personenvervoer, Emissiekentallen modaliteiten 2022. Contract No.: 23.2210506.108"},{"issue":"5","key":"12471_CR18","doi-asserted-by":"publisher","first-page":"568","DOI":"10.1111\/1471-0528.17771","volume":"131","author":"NA Spil","year":"2024","unstructured":"Spil NA, van Nieuwenhuizen KE, Rowe R, Thornton JG, Murphy E, Verheijen E et al (2024) The carbon footprint of different modes of birth in the UK and the Netherlands: an exploratory study using life cycle assessment. BJOG 131(5):568\u2013578","journal-title":"BJOG"},{"issue":"7","key":"12471_CR19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0271601","volume":"17","author":"L Boberg","year":"2022","unstructured":"Boberg L, Singh J, Montgomery A, Bentzer P (2022) Environmental impact of single-use, reusable, and mixed trocar systems used for laparoscopic cholecystectomies. PLoS ONE 17(7):e0271601","journal-title":"PLoS ONE"},{"issue":"6","key":"12471_CR20","doi-asserted-by":"publisher","first-page":"4067","DOI":"10.1007\/s00464-021-08728-z","volume":"36","author":"C Rizan","year":"2022","unstructured":"Rizan C, Bhutta MF (2022) Environmental impact and life cycle financial cost of hybrid (reusable\/single-use) instruments versus single-use equivalents in laparoscopic cholecystectomy. Surg Endosc 36(6):4067\u20134078","journal-title":"Surg Endosc"},{"key":"12471_CR21","unstructured":"Lynn Snijder MB (2022) E\u00e9nmalig of herbruikbare partus- en hechtset? Milieukundige vergelijking voor het UMC Utrecht \u2013 Update 2022. UMC Utrecht"},{"key":"12471_CR22","unstructured":"Vozzola E, Overcash M, Griffing E (2018) Life cycle assessment of surgical drapes and tapes: reusable and disposable. Environmental Clarity"},{"issue":"3","key":"12471_CR23","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1002\/aorn.12885","volume":"111","author":"E Vozzola","year":"2020","unstructured":"Vozzola E, Overcash M, Griffing E (2020) An environmental analysis of reusable and disposable surgical gowns. AORN J 111(3):315\u2013325","journal-title":"AORN J"},{"issue":"8","key":"12471_CR24","volume":"13","author":"U Ahmed","year":"2021","unstructured":"Ahmed U, Ullah H, Samad K (2021) Mean temperature loss during general anesthesia for laparoscopic cholecystectomy: comparison of males and females. Cureus 13(8):e17128","journal-title":"Cureus"},{"key":"12471_CR25","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10051047","author":"A Becerra","year":"2021","unstructured":"Becerra A, Valencia L, Villar J, Rodriguez-Perez A (2021) Short-periods of pre-warming in laparoscopic surgery: a non-randomized clinical trial evaluating current clinical practice. J Clin Med. https:\/\/doi.org\/10.3390\/jcm10051047","journal-title":"J Clin Med"},{"issue":"19","key":"12471_CR26","doi-asserted-by":"publisher","first-page":"1209","DOI":"10.1056\/NEJM199605093341901","volume":"334","author":"A Kurz","year":"1996","unstructured":"Kurz A, Sessler DI, Lenhardt R (1996) Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization: study of wound infection and temperature group. N Engl J Med 334(19):1209\u20131215","journal-title":"N Engl J Med"},{"key":"12471_CR27","unstructured":"Kanmed (n.d.) Kanmed Warmingcabinet - High quality warming cabinets. https:\/\/kanmed.se\/wp-content\/uploads\/2015\/01\/Warming-Cabinet-UK.pdf"},{"key":"12471_CR28","unstructured":"Statistics Netherlands (2024) Nearly half the electricity produced in the Netherlands is now renewable"},{"key":"12471_CR29","doi-asserted-by":"publisher","DOI":"10.1007\/BF02978732","volume":"6","author":"R Heijungs","year":"2001","unstructured":"Heijungs R, Kleijn R (2001) Numerical approaches towards life cycle interpretation five examples. Int J LCA 6:141-148","journal-title":"Int J LCA"},{"key":"12471_CR30","doi-asserted-by":"publisher","DOI":"10.1007\/s11367-020-01827-4","author":"C von Br\u00f6mssen","year":"2020","unstructured":"von Br\u00f6mssen C, R\u00f6\u00f6s E (2020) Why statistical testing and confidence intervals should not be used in comparative life cycle assessments based on Monte Carlo simulations. Int J Life Cycle Assess. https:\/\/doi.org\/10.1007\/s11367-020-01827-4","journal-title":"Int J Life Cycle Assess"},{"key":"12471_CR31","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zraf030","author":"MMM Eussen","year":"2025","unstructured":"Eussen MMM, Logghe E, Bluiminck S, Comes DJ, Kimman ML, Essers BAB et al (2025) Reducing surgical instrument usage: systematic review of approaches for tray optimization and its advantages on environmental impact, costs and efficiency. BJS Open. https:\/\/doi.org\/10.1093\/bjsopen\/zraf030","journal-title":"BJS Open"},{"key":"12471_CR32","unstructured":"World Health Organization (2018) Global guidelines for the prevention of surgical site infection. Web appendix 17: Summary of a systematic review on drapes and gowns"},{"issue":"10","key":"12471_CR33","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1111\/j.1445-2197.1993.tb00343.x","volume":"63","author":"KY Chiu","year":"1993","unstructured":"Chiu KY, Lau SK, Fung B, Ng KH, Chow SP (1993) Plastic adhesive drapes and wound infection after hip fracture surgery. Aust N Z J Surg 63(10):798\u2013801","journal-title":"Aust N Z J Surg"},{"issue":"3","key":"12471_CR34","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1053\/jhin.2000.0843","volume":"47","author":"HR Ward","year":"2001","unstructured":"Ward HR, Jennings OG, Potgieter P, Lombard CJ (2001) Do plastic adhesive drapes prevent post caesarean wound infection? J Hosp Infect 47(3):230\u2013234","journal-title":"J Hosp Infect"},{"issue":"1","key":"12471_CR35","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1016\/S1010-7940(98)00255-3","volume":"15","author":"J Bellchambers","year":"1999","unstructured":"Bellchambers J, Harris JM, Cullinan P, Gaya H, Pepper JR (1999) A prospective study of wound infection in coronary artery surgery. Eur J Cardiothorac Surg 15(1):45\u201350","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"12471_CR36","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1111\/anae.16221","volume":"79","author":"M Bernat","year":"2024","unstructured":"Bernat M, Boyer A, Roche M, Richard C, Bouvet L, Remacle A et al (2024) Reducing the carbon footprint of general anaesthesia: a comparison of total intravenous anaesthesia vs. a mixed anaesthetic strategy in 47,157 adult patients. Anaesthesia 79(3):309\u2013317","journal-title":"Anaesthesia"},{"issue":"51","key":"12471_CR37","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000032365","volume":"101","author":"M He","year":"2022","unstructured":"He M, Chen M, Yu F (2022) Comparison of total intravenous anesthesia and inhalation anesthesia on postoperative quality of recovery after laparoscopic hysterectomy: a protocol for systematic review and meta-analysis. Medicine (Baltimore) 101(51):e32365","journal-title":"Medicine (Baltimore)"},{"issue":"4","key":"12471_CR38","first-page":"135","volume":"59","author":"MM Ahmed","year":"2021","unstructured":"Ahmed MM, Tian C, Lu J, Lee Y (2021) Total intravenous anesthesia versus inhalation anesthesia on postoperative analgesia and nausea and vomiting after bariatric surgery: a systematic review and meta-analysis. Asian J Anesthesiol 59(4):135\u2013151","journal-title":"Asian J Anesthesiol"},{"issue":"2","key":"12471_CR39","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1111\/anae.14428","volume":"74","author":"AF Nimmo","year":"2019","unstructured":"Nimmo AF, Absalom AR, Bagshaw O, Biswas A, Cook TM, Costello A et al (2019) Guidelines for the safe practice of total intravenous anaesthesia (TIVA): joint guidelines from the association of anaesthetists and the society for intravenous anaesthesia. Anaesthesia 74(2):211\u2013224","journal-title":"Anaesthesia"},{"issue":"1","key":"12471_CR40","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1007\/BF02909490","volume":"8","author":"KN Apelgren","year":"1994","unstructured":"Apelgren KN, Blank ML, Slomski CA, Hadjis NS (1994) Reusable instruments are more cost-effective than disposable instruments for laparoscopic cholecystectomy. Surg Endosc 8(1):32\u201334","journal-title":"Surg Endosc"},{"issue":"8","key":"12471_CR41","doi-asserted-by":"publisher","first-page":"670","DOI":"10.1308\/003588409X12486167521154","volume":"91","author":"M Slater","year":"2009","unstructured":"Slater M, Booth M, Dehn T (2009) Cost-effective laparoscopic cholecystectomy. Ann R Coll Surg Engl 91(8):670\u2013672","journal-title":"Ann R Coll Surg Engl"},{"issue":"1-2","key":"12471_CR42","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1111\/ans.13856","volume":"87","author":"J Siu","year":"2017","unstructured":"Siu J, Hill AG, MacCormick AD (2017) Systematic review of reusable versus disposable laparoscopic instruments: costs and safety. ANZ J Surg 87(1\u20132):28\u201333","journal-title":"ANZ J Surg"},{"issue":"7","key":"12471_CR43","doi-asserted-by":"publisher","first-page":"4354","DOI":"10.1097\/JS9.0000000000002442","volume":"111","author":"MMMBS Eussen","year":"2025","unstructured":"Eussen MMMBS, Chambon M, Batcup C, Kooistra EJ, Stobernack T, van Harreveld F, Bouvy ND, de Reuver PR (2025) Perspectives on disposable and reusable surgical materials in laparoscopic surgery: a global survey amongst surgeons. Int J Surg 111(7):4354\u20134361","journal-title":"Int J Surg"},{"issue":"11","key":"12471_CR44","doi-asserted-by":"publisher","first-page":"e937","DOI":"10.1016\/S2542-5196(24)00241-9","volume":"8","author":"JF Davies","year":"2024","unstructured":"Davies JF, McGain F, Sloan E, Francis J, Best S (2024) A qualitative exploration of barriers, enablers, and implementation strategies to replace disposable medical devices with reusable alternatives. Lancet Planet Health 8(11):e937\u2013e945","journal-title":"Lancet Planet Health"},{"issue":"1","key":"12471_CR45","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1097\/JS9.0000000000000829","volume":"110","author":"A Almukhtar","year":"2024","unstructured":"Almukhtar A, Batcup C, Bowman M, Winter-Beatty J, Leff D, Demirel P et al (2024) Barriers and facilitators to sustainable operating theatres: a systematic review using the theoretical domains framework. Int J Surg 110(1):554\u2013568","journal-title":"Int J Surg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12471-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-025-12471-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-025-12471-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T19:34:48Z","timestamp":1773084888000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-025-12471-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,19]]},"references-count":45,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["12471"],"URL":"https:\/\/doi.org\/10.1007\/s00464-025-12471-0","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,19]]},"assertion":[{"value":"25 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Stijn Bluiminck, Myrthe M.M. Eussen, Emma J. Kooistra, Daan J. Comes, Lindsey de Nes, Frans T.W.E. van Workum, Hugo R.W. Touw, Nicole D. Bouvy, Tim Stobernack, and Philip R. de Reuver have no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}