非黑色素瘤皮肤癌手术的碳足迹。

IF 3.5 3区 医学 Q1 SURGERY BJS Open Pub Date : 2024-09-03 DOI:10.1093/bjsopen/zrae084
Ky-Leigh Ang, Matthew Jovic, Ian Malin, Stephen R Ali, Sairan Whitaker, Iain S Whitaker
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引用次数: 0

摘要

背景:气候变化对全球健康构成重大威胁,而包括外科手术在内的医疗保健行业也造成了温室气体排放。人们一直在努力促进外科手术的可持续发展,但有关整形外科可持续发展的文献仍然有限:方法:采用生命周期分析法对非黑色素瘤皮肤癌手术中使用的三种不同的重建方法(直接缝合、分厚植皮和全厚植皮)相关的环境排放量进行评估和量化。分析于 2023 年 3 月在英国斯旺西的莫里斯顿医院进行。然后估算了英格兰和威尔士非黑色素瘤皮肤癌手术的碳足迹:结果:非黑色素瘤皮肤癌手术的平均碳排放量为 29.82 至 34.31 kgCO₂eq。手术室能源消耗(4.29-8.76 kgCO₂eq)和消耗品(16.87 kgCO₂eq)是造成碳排放的主要因素。非黑色素瘤皮肤癌手术过程中产生的废物占 1.31 kgCO₂eq,可重复使用手术器械的消毒导致 1.92 kgCO₂eq的碳排放。同时,运输、敷料、药品和洗衣的碳排放量分别为 0.57、2.65、1.85 和 0.38 kgCO₂eq。非黑色素瘤皮肤癌的直接缝合切除术(19.29-22.41 kgCO₂eq)与分厚植皮切除术(43.80-49.06 kgCO₂eq)和全厚植皮切除术(31.58-37.02 kgCO₂eq)相比,碳排放量最低。据估计,2021 年,非黑色素瘤皮肤癌手术在威尔士的年碳足迹为 306 775 kgCO₂eq,在英格兰为 4 402 650 kgCO₂eq。可以预测,到 2035 年,非黑色素瘤皮肤癌手术的碳排放量在威尔士将达到 388 927 kgCO₂eq,在英格兰将达到 5 419 770 kgCO₂eq:本研究强调了整形外科非黑色素瘤皮肤癌对环境的影响,并强调了可持续实践的必要性。外科医生和政策制定者之间的合作至关重要,建议进一步收集数据以进行更好的分析。
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Carbon footprint of non-melanoma skin cancer surgery.

Background: Climate change poses a significant global health threat and healthcare, including surgery, contributes to greenhouse gas emissions. Efforts have been made to promote sustainability in surgery, but the literature on sustainability in plastic surgery remains limited.

Methods: A life-cycle analysis was used to assess and quantify the environmental emissions associated with three distinct reconstructive methods utilized in non-melanoma skin cancer surgery: direct closure, split-thickness skin graft, and full-thickness skin graft. Analyses were conducted in March 2023 in Morriston Hospital, Swansea, UK. The carbon footprints for non-melanoma skin cancer surgery in England and Wales were then estimated.

Results: The mean carbon emissions for non-melanoma skin cancer surgery ranged from 29.82 to 34.31 kgCO₂eq. Theatre energy consumption (4.29-8.76 kgCO₂eq) and consumables (16.87 kgCO₂eq) were significant contributors. Waste produced during non-melanoma skin cancer surgery accounted for 1.31 kgCO₂eq and sterilization of reusable surgical instruments resulted in 1.92 kgCO₂eq of carbon emissions. Meanwhile, transportation, dressings, pharmaceuticals, and laundry accounted for 0.57, 2.65, 1.85, and 0.38 kgCO₂eq respectively. The excision of non-melanoma skin cancer with direct closure (19.29-22.41 kgCO₂eq) resulted in the lowest carbon emissions compared with excision with split-thickness skin graft (43.80-49.06 kgCO₂eq) and full-thickness skin graft (31.58-37.02 kgCO₂eq). In 2021, it was estimated that non-melanoma skin cancer surgery had an annual carbon footprint of 306 775 kgCO₂eq in Wales and 4 402 650 kgCO₂eq in England. It was possible to predict that, by 2035, carbon emissions from non-melanoma skin cancer surgery will account for 388 927 kgCO₂eq in Wales and 5 419 770 kgCO₂eq in England.

Conclusion: This study highlights the environmental impact of non-melanoma skin cancer in plastic surgery departments and emphasizes the need for sustainable practices. Collaboration between surgeons and policymakers is essential and further data collection is recommended for better analysis.

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来源期刊
BJS Open
BJS Open SURGERY-
CiteScore
6.00
自引率
3.20%
发文量
144
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