最少侵入性和开放性微盘切除术的碳足迹:新出现的影响
Adin M Ehrlich1, Nishtha Singh1, Cole T Kwas1
1Department of Spine Surgery, Hospital for Special Surgery, New York, NY, USA.
Global spine journal
|September 4, 2025
概括
腰椎间盘的最小侵入性手术 (MIS) 的碳足迹比开放式手术更高. 减少浪费和优化能源使用是更可持续的外科手术的关键.
科学领域:
- 环境科学
- 外科创新
- 医疗保健的可持续性
背景情况:
- 脊椎手术对环境的影响也越来越受到关注.
- 微创手术 (MIS) 已被广泛采用,但其生态成本尚未得到充分了解.
- 量化不同手术方法的碳足迹对于开发可持续医疗保健至关重要.
研究的目的:
- 为了比较开放式微切除术的碳足迹 (CF) 与腰椎间盘的最小侵入性手术 (MIS).
- 在这两种手术技术中确定CF的关键贡献者.
- 为减少脊椎手术对环境的影响制定策略.
主要方法:
- 对161名接受初级1级微切除术的患者进行回顾性队列研究 (2018 - 2022年).
- 生命周期评估 (LCA) 建模用于计算分布,使用和废弃物阶段的CF.
- 统计分析 (t-测试,奇方形/费舍尔精确) 以比较开放程序和MIS程序之间的CF.
主要成果:
- 与开放式手术 (95. 15 ± 45. 45 kg- CO2e,P=0. 021) 相比,MIS微切除术的整体CF显著更高.
- 废弃阶段对MIS CF (31. 50±25. 67kg- CO2e) 的贡献明显大于开放式手术 (18. 18±10. 25kg- CO2e,P<0. 001).
- 一次性供应,能源密集型设备和麻醉气体是CF的主要原因.
结论:
- 比开放式手术产生更大的碳足迹和环境成本.
- 减少浪费,重复使用材料和优化能源使用对于可持续的脊椎手术至关重要.
- 需要采取全面的方法来减轻MIS和开放技术对环境的影响.
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