结直肠手术后改善康复的护理途径是否对环境负责?
Diana Kabanova1, Charles Moret1, Pierre Albaladejo1
1CHU Grenoble Alpes, 38700 La Tronche, France.
Journal of visceral surgery
|December 19, 2023
概括
在结直肠外科手术中,增强的恢复计划 (ERP) 显著减少了每名患者至少375kg的碳足迹,主要是通过更短的住院时间和更少的并发症. 虽然大多数ERP措施对环境有益,但机器人手术是一个显著的例外.
科学领域:
- 医疗保健中的环境可持续性
- 结肠直肠手术的结果
- 手术途径影响评估手术途径影响评估
背景情况:
- 手术患者途径对环境的影响往往被忽视.
- 增强恢复计划 (ERP) 现在是外科手术的标准护理.
- 评估ERP在结直肠外科手术中的生态足迹至关重要.
研究的目的:
- 确定结直肠外科手术中与增强恢复计划 (ERP) 相关的碳足迹.
- 评估各种ERP措施对环境的影响.
- 了解ERP与可持续发展原则的一致性.
主要方法:
- 对PubMed索引的文章进行了叙事审查.
- 研究重点是ERP在结直肠外科手术中的环境影响.
- 关键词包括"碳足迹"",可持续性"和特定的ERP建议.
主要成果:
- 在结直肠外科手术中实施ERP导致每名患者平均减少375kg的CO2e,主要是由于住院时间缩短了3天.
- 许多ERP措施,如早期动员和腹腔镜等最小侵入性技术,通过减少并发症,有助于减少环境效益.
- 然而,机器人手术被认为是碳足迹很大的一项措施.
结论:
- 结直肠外科手术中的ERP与可持续发展的社会和经济支柱保持一致.
- ERP的环境效益是直观存在的,但需要进一步的定性研究才能充分量化.
- 虽然大多数ERP组件在生态上是合理的,但特定的高影响技术,如机器人手术,需要仔细考虑它们的环境成本.
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