Laparoscopy Instruments Market Size, Share & COVID-19 Impact Analysis, By Type {Energy Devices (Generators, Vessel Sealers, and Others), Smoke Evacuation Systems, Closure Devices (Staplers, Sutures, and Others), Insufflation Devices, Suction/Irrigation Devices, Handheld instruments, Trocars, and Accessories}, By Usage (Reusable and Disposable), By Application (General Surgery, Urology, Gynecology, and Others), By End-user (Hospitals & ASCs and Specialty Clinics and Others), and Regional Forecast, 2022-2029

The global laparoscopy instruments market size was valued at USD 12.88 billion in 2021 and is projected to grow from USD 14.13 billion in 2022 to USD 25.26 billion by 2029, exhibiting a CAGR of 8.7% during the forecast period. Based on our analysis, the global laparoscopy instruments market exhibited a decline of -4.9% in 2020 as compared to 2019. The global COVID-19 pandemic has been unprecedented and staggering, with laparoscopy instruments experiencing lower-than-anticipated demand across all regions compared to pre-pandemic levels.

Laparoscopy, or keyhole surgery, is a minimally invasive surgery in which surgeons can operate inside the pelvis and abdomen without needing larger incisions in the skin. The laparoscopic devices market includes energy devices and endomechanical instruments used during laparoscopic surgeries. Energy devices emit ultrasonic waves, high frequencies, and microwaves to assist surgeons in cutting tissue and organs for the operation, whereas endomechanical instruments are generally used in joining, removing, or attaching organs or parts of the abdomen.

The increasing preference for laparoscopic procedures by surgeons and patients is one of the major factors responsible for the market growth. Moreover, factors such as the rising burden of various medical conditions requiring surgical procedures and the increasing number of laparoscopic surgeries are driving the growth of the market. Furthermore, the emergence of new technologies by the market players with the potential to eliminate current challenges during laparoscopic procedures is expected to fuel the market growth during the forecast timeframe.

COVID-19 IMPACT

Cancellation and Postponement of Elective Surgeries during COVID-19 Pandemic Negatively Impacted Market Growth

The COVID-19 pandemic has significantly changed the landscape of healthcare practices across the world. The COVID-19 significantly hampered the surgical procedures due to various issues such as procedural prioritization, workforce and staffing issues, intraoperative risk of viral transmission, and changes to perioperative practice. Many companies with a portfolio of laparoscopy instruments witnessed a decreased demand for their products during the pandemic. Factors such as supply chain disruptions, increased demand for essential products such as PPE kits, and a decline in the surgical volume negatively impacted the demand for laparoscopic instruments in 2020. In terms of value, the global market witnessed a decline of -4.9% in 2020.

Key laparoscopy instruments players experienced a significant decline in their revenues in 2020. For instance, Johnson & Johnson Services Inc. registered a decline of -13.4% in 2020 from its surgery segment.

In 2021, the surgical volumes across hospitals and ambulatory surgical centers started increasing due to factors such as higher vaccination coverage among the general population, improvements in the supply chain of laparoscopy instruments, and implementation of COVID-19-related protocols in healthcare facilities. Moreover, manufacturers of laparoscopic instruments also experienced a significant increase in their revenues from surgical instruments. For instance, Johnson & Johnson Services Inc.’s surgery segment revenue increased by 19.2% in 2021. Such factors led to an increased demand for laparoscopy instruments in 2021.

LATEST TRENDS 

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Shift to Laparoscopic Surgery from Open Surgery for Colorectal Conditions to Propel the Market Growth

The laparoscopic colectomy procedure was first introduced in 1991. However, this procedure could not gain significant utilization rates among healthcare facilities compared to other laparoscopic procedures such as cholecystectomy and appendectomy.

However, after the use of the Hand-assisted Laparoscopic Surgery (HALS) approach by surgeons, technical difficulties and challenges associated with laparoscopic colectomy were minimized. This led to an increase in the use of laparoscopic approach for colorectal conditions, including colectomy.

• For instance, according to the National Bowel Cancer Audit (NBOCA) Annual Report 2020, in the U.K., the proportion of patients undergoing laparoscopic surgery for bowel cancer increased from 52.0% in the 2014-2015 period to 64% in the 2018-2019 period.

Such rising inclination of patients and surgeons toward laparoscopic approach for colorectal conditions is expected to positively influence the market growth in developed markets.

DRIVING FACTORS

Increasing Usage of Laparoscopic Procedures to Increase the Demand for Instruments

Laparoscopy is used for the diagnosis and operation of a variety of medical conditions. The surgeons perform these surgeries by inserting a laparoscope and other surgical instruments through one or more small incisions in the abdomen of a patient’s body. Over the past decade, the adoption of minimally invasive surgeries has significantly increased. This increase in the use of laparoscopic approach is due to its several associated benefits.

• For instance, several advantages such as small scars, less tissue cutting, quick healing, less recovery time, minimum hospital stay, and reduction in the exposure of internal organs toward external contaminants are attracting patients for laparoscopic surgical approach.

The increasing focus of developing and under-developed countries toward improvement in healthcare infrastructure is anticipated to further increase the demand for capital equipment such as electrosurgical generators and advanced vessel sealing instruments. Moreover, an increasing number of laparoscopic surgical procedures across the world is expected to fuel the demand for these instruments during the forecast period.

• According to the Organisation for Economic Co-operation and Development (OECD), in France, out of total surgical procedures for the repair of inguinal hernia, the share of laparoscopy procedures increased from 29.1% in 2010 to 42.2% in 2020. Such a significant increase in the proportion of laparoscopic surgical procedures has increased the demand for laparoscopic instruments, thereby propelling the overall market growth.

Such increasing preference for the laparoscopic approach coupled with the rising number of laparoscopy procedures is expected to positively impact the market growth in the coming years.

Growing Burden of Diseases such as Appendicitis and Gallstones to Contribute to Market Growth

Laparoscopic surgical approach is used for the treatment of various diseases such as gallstones, appendicitis, and hernia, among others. The rising prevalence of gallstones coupled with an increasing number of patients with acute appendicitis is anticipated to increase the demand for laparoscopy instruments during the forecast timeframe.

• For instance, according to the data from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), gallstones affect 10 to 15% of the U.S. population. Such a high prevalence of gallstones in the U.S. is expected to increase the number of surgical procedures, including laparoscopic procedures.

Several diseases, such as gallstones and appendicitis, can be severe if left untreated. Hence, a large group of patients suffering from these diseases prefers surgical approaches, which are termed cholecystectomy and appendectomy, respectively. An increase in the number of laparoscopy procedures over the past decade has significantly contributed to market growth.

• According to the data from the Organisation for Economic Co-operation and Development (OECD), the total number of laparoscopic cholecystectomy procedures in EU-5 (Germany, U.K., Italy, France, and Spain) increased from 484,724 in 2010 to 537,402 in 2019.

Such an increase in the number of procedures coupled with a growing burden of various diseases is expected to drive market growth in the coming years.

RESTRAINING FACTORS

Complications Associated with Laparoscopic Procedures and High Preference to Open Surgery in Developing Countries to Limit the Market

Several complications and limitations of laparoscopic surgical procedures are raising concerns amongst healthcare professionals and patients, which is hampering the adoption of these instruments across the world.

The energy sources used in laparoscopic surgeries cause lateral thermal spread and generation of smoke or vapor plumes. Surgical smoke increases the risk of acute and chronic pulmonary conditions, irritation, and soreness of the nose, throat, and eyes, and causes acute headaches. Moreover, the instruments used in laparoscopic surgeries have several complications associated with them. For instance, various complications of trocars include intra-abdominal vascular and visceral injury, herniation, trocar site bleeding, and infection. Such problems associated with laparoscopic surgical procedures are expected to limit the adoption of these instruments, thereby hindering the overall market growth.

Along with this, the high preference to open surgery by the patient population across low and middle-income countries due to its cost-effectiveness compared to laparoscopic surgery is limiting the number of laparoscopic procedures. Despite the drawbacks associated with open surgery, such as larger scars, more pain, and longer stays at the hospitals, a large group of patients prefers the open surgical approach in these countries. 

SEGMENTATION

By Type Analysis

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Energy Devices Segment to Dominate Market owing to Increasing Adoption of these Devices

On the basis of type, the market is categorized into energy devices, smoke evacuation systems, closure devices, insufflation devices, suction/irrigation devices, handheld instruments, trocars, and accessories.

The energy devices segment is further divided into generators, vessel sealers, and others. The energy devices segment held the largest share in 2021 and is projected to expand at a significant CAGR during the forecast period. The dominant share of this segment is due to factors such as technological advancements in electrosurgical devices and growing focus of healthcare facilities toward the adoption of capital equipment devices. Moreover, increasing focus of key players on the introduction of energy devices is expected to support the segment in maintaining its dominant share during the forecast period.

• For instance, in September 2021, Olympus announced the launch of POWERSEAL advanced bipolar surgical energy devices. This device has the ability to meet the highest standards of clinical performance for advanced bipolar surgical energy devices by delivering consistent sealing reliability in an ergonomic, multifunctional design, which increases procedural efficiency.

By Usage Analysis

Disposable Segment to Hold Major Market Share due to Advantages of these Devices

Based on usage, the market is classified into reusable and disposable.

The disposable segment held a considerable market share in 2021. There is a lot of discussion among healthcare professionals regarding the decision to use disposable versus reusable laparoscopy instruments. The large share of the disposable segment is due to the cost-effectiveness, safety, and convenience associated with laparoscopy instruments.

The probability of contamination is very low when disposable instruments are used during surgical procedures. Furthermore, the challenges related to sterilization and reprocessing of instruments are eliminated while using disposable instruments. Such factors are expected to contribute to the faster adoption of disposable instruments during the forecast period.

By Application Analysis

Increasing Number of General Surgeries to Contribute to Segmental Growth 

Based on application, the market is segmented into general surgery, urology, gynecology, and others.

The general surgery segment accounted for the highest market share in 2021 and is expected to expand at a substantial CAGR during the forecast timeframe. General surgery includes various procedures such as appendectomy, cholecystectomy, hernia repair, and bariatric surgeries, among others.

Factors, such as increasing number of general surgeries and rising burden of acute appendicitis, among other disorders, contribute to the highest share of the segment. Moreover, growing number of surgeons and rising preference toward laparoscopic approach for appendectomy, cholecystectomy, and hernia repair are expected to fuel the segmental growth in the projected years.

• For instance, according to the data by OECD, in France, laparoscopic appendectomy procedures accounted for 88.4% of the total number of appendectomy procedures in 2020. Such high preference for laparoscopic approach is expected to increase the number of general surgeries, thereby spurring the overall segmental growth.

By End-user Analysis

Large Patient Volumes in Hospitals & ASCs to Drive Segmental Expansion

In terms of end-user, the market is bifurcated into hospitals & ASCs and specialty clinics and others.

The hospitals & ASCs segment dominated the global market in 2021. A large group of the patient population visiting hospitals and ambulatory surgical centers for conducting laparoscopic surgeries contributes to the dominant share of the segment. Furthermore, the large number of hospitals across the world and the reliability of patients toward government hospitals in various emerging countries are some of the primary factors increasing the number of laparoscopic surgical procedures in these end-user settings.

REGIONAL INSIGHTS

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In terms of regions, the North America market was valued at USD 6.60 billion in 2021. This region dominated the global laparoscopy instruments market share in 2021 and is expected to continue its dominance throughout the forecast period. The market growth across the region is primarily attributed to the increasing number of surgical procedures. Moreover, increasing popularity of laparoscopic surgical approach among healthcare professionals and patients is leading to the high adoption of laparoscopic instruments. Furthermore, strong presence of key players, such as Medtronic, BD, and CONMED, in the U.S. contributes to the market growth in the region.

• For instance, as per an article by Cureus in April 2020, in the U.S., 90.0% of the cholecystectomy are performed through laparoscopic approach and it is considered as the gold standard for elective cholecystectomy.

The market in Asia Pacific is anticipated to expand at the highest CAGR during the forecast period, 2022-2029. The highest CAGR is attributed to the increasing prevalence of diseases such as colectomy, acute appendicitis, and gallstones, which require surgical procedures. Furthermore, increasing emphasis on commercialization of laparoscopic instruments by the market players in the region coupled with the growing inclination of patients from traditional open surgery to laparoscopic surgery is expected to fuel the market growth in the long run.

• According to the data by OECD, in Australia, the proportion of laparoscopic repair of Inguinal hernia increased from 31.7% in 2010 to 46.8% in 2019 in total number of procedures for repair of inguinal hernia. Such rapidly increasing preference to laparoscopic approach is expected to positively impact the market growth in the region.

KEY INDUSTRY PLAYERS

Strong Product Portfolio of ETHICON (Johnson & Johnson Services, Inc.) to Strengthen its Market Share

The market is consolidated in nature as key companies such as ETHICON (Johnson & Johnson Services, Inc.), Medtronic, and Olympus Corporation accounted for majority of the global market share in 2021.

ETHICON (Johnson & Johnson Services, Inc.) held the highest share of the market in 2021. The leading position of the company in the market is due to its strong portfolio of endomechanical surgical instruments. Moreover, a wide distribution network across the world to distribute its laparoscopic surgical instruments contributes to the large share of the company in the market. 

Olympus Corporation held a significant market share in 2021. Increasing preference for the company’s electrosurgical products by healthcare professionals across China, Japan, and the U.S. positively influences the company’s position in the market. Moreover, its consistent focus on the launch of laparoscopy instruments is expected to increase its market share in the coming years.

• For instance, in September 2021, Olympus Corporation launched POWERSEAL devices, which can be used in laparoscopic or open surgeries.

LIST OF KEY COMPANIES PROFILED:

• Microline Surgical (U.S.)


• KARL STORZ SE & Co. KG (Germany)


• BD (U.S.)


• Medtronic (Ireland)


• CONMED (U.S.)


• Olympus Corporation (Japan)


• Erbe Elektromedizin GmbH (Germany)


• Stryker (U.S.)


• ETHICON (Johnson & Johnson Services, Inc.) (U.S.)


• LIVSMED, INC. (South Korea)

KEY INDUSTRY DEVELOPMENTS:

• January 2022 - Microline Surgical introduced a new sales team in the Southeast region to strengthen the distribution of its products across the U.S.


• November 2021 - Erbe Elektromedizin GmbH acquired Maxer Endoscopy, which is engaged in the manufacturing of a wide range of endoscopic systems and instruments for laparoscopy and ENT surgery.


• September 2021 - Olympus Corporation launched POWERSEAL devices. The POWERSEAL devices can be used in open or laparoscopic surgeries.


• April 2021 - ETHICON (Johnson & Johnson Services, Inc.) acquired Auris Health Inc. This acquisition helped the company to expand its product line in the laparoscopic, robotic, and endoluminal product portfolio.


• February 2019 - Conmed completed the acquisition of Buffalo Filter. This acquisition strengthened the sales of the company’s general surgery products by the inclusion of various products, such as AirSeal and Buffalo Filter, which are used in minimally invasive surgeries.

REPORT COVERAGE

An Infographic Representation of Laparoscopy Instruments Market

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The research report provides an in-depth analysis of the industry. It focuses on segments such as type, usage, application, and end-user. Besides this, it offers insights related to the impact of COVID-19, market trends, and the number of laparoscopic surgeries performed in key countries. Additionally, the report consists of several factors that contribute to the laparoscopy instruments market growth. The report also provides a competitive landscape of the market.

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