在炎症性肠道疾病中常见程序的碳足迹
L Munster1,2, B van der Zwet3,4, J de Groof3,4
1Department of Surgery, Flevoziekenhuis, Almere, The Netherlands. l.munster@amsterdamumc.nl.
Techniques in coloproctology
|May 30, 2025
概括
常见的炎症性肠病 (IBD) 手术的碳足迹主要是由患者和工作人员的运输驱动的,其次是能源和材料的使用. 减少这些因素可以显著降低IBD手术程序对环境的影响.
科学领域:
- 环境科学环境科学
- 手术方面的创新.
- 公共卫生 公共卫生
背景情况:
- 炎症性肠病 (IBD) 治疗带来了环境负担.
- 评估常见IBD手术的碳足迹对于可持续性至关重要.
研究的目的:
- 评估流行IBD外科手术的环境影响,特别是碳足迹.
- 确定这些手术的碳排放的主要贡献者.
主要方法:
- 生命周期评估 (LCA) 应用于腹腔镜内皮切除术 (ICRs),亚整体切除术 (STCs) 和间管 (LIFT) 的绑定手术.
- 量化二氧化碳排放率和确定"热点" (主要贡献者).
- 进行了中点和终点分析,包括根据残疾调整的寿命年 (DALYs).
主要成果:
- 平均碳足迹:ICR (104 公斤CO2eq),STC (116 公斤CO2eq),升降机 (43.6 公斤CO2eq).
- 主要贡献者:人员/患者的运输 (47-49%),手术室的能源使用 (13-27%),以及手术设备 (14-28%).
- 确定了对全球变暖,颗粒物,土地利用,酸化和资源稀缺的影响;估计DALY为ICR/STC2小时,LIFT47分钟.
结论:
- 患者和医疗人员的运输是IBD手术碳足迹的主要因素.
- 随着手术复杂性的不同,能源和材料的消耗也会大大增加.
- 建议包括尽量减少能源使用,标准化材料,并促进员工的可持续通勤.
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