TPT 9.13 The Financial Impact of Laparoscopic Port Site Closure Complications: A Single-Centre Cost-Avoidance Analysis

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ID: 324000
2026
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Abstract
Abstract Aims Port site closure–related complications following laparoscopic surgery are uncommon but can result in significant morbidity and unplanned healthcare expenditure. This study assessed whether routine use of dedicated laparoscopic port-site closure devices, despite higher per-case consumable costs, may reduce overall healthcare system burden. Methods A retrospective review of all general surgery laparoscopic procedures performed at a single centre between 01/01/25 and 31/12/25 was conducted. Port site closure–related complications were identified. Resource utilisation was recorded, including emergency department attendance, imaging, reoperation, length of hospital stays, and operative consumables. Estimated costs were calculated using conservative published NHS reference values. Results Among 321 procedures, three port site closure–related complications occurred (0.9%), consistent with published prevalence rates (0.2–1.8%). Two patients required emergency laparotomy with small bowel resection and anastomosis, and one required same-day reoperation for a port site hernia. Estimated minimum costs attributable to these complications included emergency CT imaging, emergency theatre utilisation, laparotomy with bowel resection, inpatient surgical bed days, and additional consumables, resulting in a cumulative cost exceeding £20,000. These estimates exclude wider societal costs such as reduced quality of life, loss of productivity, and post-discharge community care. By comparison, routine use of a laparoscopic port site closure device (£25–£30 per unit) across all cases would cost approximately £9,000 - £10 000 annually. Conclusion Routine use of laparoscopic port site closure devices may represent a cost-effective patient safety intervention. Preventing even a small number of serious complications offers substantial cost avoidance and reduces emergency healthcare utilisation.
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Authors Rishi Banerjee, Ee Teng Goh, Raashi Padhiyar, Salman Rana, Chetan Parmar, Hasan Mukhtar
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.282
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