Carbon Dioxide Emissions and Environmental Impact of Different Surgical Modalities of Hysterectomies.

IF 1.4 4区医学 Q3 SURGERY

JSLS : Journal of the Society of Laparoendoscopic Surgeons Pub Date : 2023-07-01 DOI:10.4293/JSLS.2023.00021

Sangeeta Ramani, Josette Hartnett, Shweta Karki, Stephen M Gallousis, Mitchell Clark, Vaagn Andikyan

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引用次数: 0

Abstract

Background and objectives: The objectives of this study were to determine carbon dioxide (CO₂) emissions generated from nonreusable waste and compare across different types of hysterectomies for benign and malignant indications. Overall greenhouse gas emissions were not examined.

Methods: This is a prospective cohort study that identified women undergoing a robotic assisted, laparoscopic, vaginal, or abdominal hysterectomy for any indication. The amount of waste generated was collected for each case, along with patient demographics, and details of the procedure. Weight of waste was converted to kilograms of CO₂ emissions using the following formula: $Carbon dioxide emissions = Waste in pounds × 1 Short ton / 2000 pounds × Emission factor (kg C O_{2} / short ton) × Global warming potential (GWP)$ We extrapolated the amount of CO₂ emissions produced to the number of hysterectomies performed annually in the United States.

Results: We found that robotic hysterectomies generated the highest mean CO₂ emissions (12.01 kg CO₂), while vaginal hysterectomies produced the lowest mean CO₂ emissions of 4.48 kg (p < .0001).Our sample size of 100 hysterectomies was equivalent to 1099.4 kg CO₂ emissions. When our results were extrapolated, all hysterectomies in the United States produce 5.7 million kg of CO₂ emissions. This is equivalent to 234,513 airplane miles, and 95 trips cross-country across the USA from New York, New York to Los Angeles, California.

Conclusion: Robotic hysterectomies generated a statistically significant majority of CO₂ emissions. Therefore, robotic surgery, as currently practiced, may offer a good initial opportunity for decreasing the carbon footprint of surgery.

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不同子宫切除术方式的二氧化碳排放和环境影响。

背景和目的：本研究的目的是确定不可回收废物产生的二氧化碳（CO2）排放量，并比较不同类型子宫切除术的良性和恶性适应症。没有对温室气体的总体排放量进行审查。方法：这是一项前瞻性队列研究，确定了接受机器人辅助、腹腔镜、阴道或腹部子宫切除术的女性是否有任何指征。收集每个病例产生的废物量，以及患者人口统计数据和手术细节。使用以下公式将废物重量转换为二氧化碳排放量的千克数：碳二氧化物排放 = 浪费在里面磅× 1. 短的吨/2000 磅×排放量因素公斤 CO2/短吨×全球升温潜能（GWP）我们将产生的二氧化碳排放量推断为美国每年进行的子宫切除术的数量。结果：我们发现机器人子宫切除术产生的平均二氧化碳排放量最高（12.01 kg CO2），而阴道子宫切除术产生的平均CO2排放量最低，为4.48 kg（p 2排放。当我们的结果被推断出来时，美国所有的子宫切除术都会产生570万公斤的二氧化碳排放。这相当于234513英里的飞行里程，以及从纽约到加利福尼亚州洛杉矶的95次穿越美国的越野旅行。结论：机器人子宫切除术产生了统计上显著的大部分二氧化碳排放。因此，目前采用的机器人手术可能为减少手术的碳足迹提供了一个良好的初始机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JSLS : Journal of the Society of Laparoendoscopic Surgeons SURGERY-

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： JSLS, Journal of the Society of Laparoscopic & Robotic Surgeons publishes original scientific articles on basic science and technical topics in all the fields involved with laparoscopic, robotic, and minimally invasive surgery. CRSLS, MIS Case Reports from SLS is dedicated to the publication of Case Reports in the field of minimally invasive surgery. The journals seek to advance our understandings and practice of minimally invasive, image-guided surgery by providing a forum for all relevant disciplines and by promoting the exchange of information and ideas across specialties.