TY - JOUR
T1 - Scoping review for the SAGES EAES joint collaborative on sustainability in surgical practice
AU - Huo, Bright
AU - Eussen, M. M.M.
AU - Marconi, Stefania
AU - Johnson, Shaneeta M.
AU - Francis, Nader
AU - Oslock, Wendelyn M.
AU - Marfo, Nana
AU - Potapov, Oleksii
AU - Bello, Ricardo J.
AU - Lim, Robert B.
AU - Vandeberg, Jonathan
AU - Hall, Ryan P.
AU - EdM, Adnan Alseidi M.D.
AU - Sanchez-Casalongue, Manuel
AU - Alimi, Yewande R.
AU - Pietrabissa, Andrea
AU - Arezzo, Alberto
AU - Frountzas, Maximos
AU - Bellato, Vittoria
AU - Barach, Paul
AU - Rems, Miran
AU - Nijihawan, Sheetal
AU - Sathe, Tejas S.
AU - Miller, Benjamin
AU - Samreen, Sarah
AU - Chung, Jimmy
AU - Bouvy, N. D.
AU - Sylla, Patricia
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024/10
Y1 - 2024/10
N2 - Background: Surgical care in the operating room (OR) contributes one-third of the greenhouse gas (GHG) emissions in healthcare. The European Association of Endoscopic Surgery (EAES) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) initiated a joint Task Force to promote sustainability within minimally invasive gastrointestinal surgery. Methods: A scoping review was conducted by searching MEDLINE via Ovid, Embase via Elsevier, Cochrane Central Register of Controlled Trials, and Scopus on August 25th, 2023 to identify articles reporting on the impact of gastrointestinal surgical care on the environment. The objectives were to establish the terminology, outcome measures, and scope associated with sustainable surgical practice. Quantitative data were summarized using descriptive statistics. Results: We screened 22,439 articles to identify 85 articles relevant to anesthesia, general surgical practice, and gastrointestinal surgery. There were 58/85 (68.2%) cohort studies and 12/85 (14.1%) Life Cycle Assessment (LCA) studies. The most commonly measured outcomes were kilograms of carbon dioxide equivalents (kg CO2eq), cost of resource consumption in US dollars or euros, surgical waste in kg, water consumption in liters, and energy consumption in kilowatt-hours. Surgical waste production and the use of anesthetic gases were among the largest contributors to the climate impact of surgical practice. Educational initiatives to educate surgical staff on the climate impact of surgery, recycling programs, and strategies to restrict the use of noxious anesthetic gases had the highest impact in reducing the carbon footprint of surgical care. Establishing green teams with multidisciplinary champions is an effective strategy to initiate a sustainability program in gastrointestinal surgery. Conclusion: This review establishes standard terminology and outcome measures used to define the environmental footprint of surgical practices. Impactful initiatives to achieve sustainability in surgical practice will require education and multidisciplinary collaborations among key stakeholders including surgeons, researchers, operating room staff, hospital managers, industry partners, and policymakers.
AB - Background: Surgical care in the operating room (OR) contributes one-third of the greenhouse gas (GHG) emissions in healthcare. The European Association of Endoscopic Surgery (EAES) and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) initiated a joint Task Force to promote sustainability within minimally invasive gastrointestinal surgery. Methods: A scoping review was conducted by searching MEDLINE via Ovid, Embase via Elsevier, Cochrane Central Register of Controlled Trials, and Scopus on August 25th, 2023 to identify articles reporting on the impact of gastrointestinal surgical care on the environment. The objectives were to establish the terminology, outcome measures, and scope associated with sustainable surgical practice. Quantitative data were summarized using descriptive statistics. Results: We screened 22,439 articles to identify 85 articles relevant to anesthesia, general surgical practice, and gastrointestinal surgery. There were 58/85 (68.2%) cohort studies and 12/85 (14.1%) Life Cycle Assessment (LCA) studies. The most commonly measured outcomes were kilograms of carbon dioxide equivalents (kg CO2eq), cost of resource consumption in US dollars or euros, surgical waste in kg, water consumption in liters, and energy consumption in kilowatt-hours. Surgical waste production and the use of anesthetic gases were among the largest contributors to the climate impact of surgical practice. Educational initiatives to educate surgical staff on the climate impact of surgery, recycling programs, and strategies to restrict the use of noxious anesthetic gases had the highest impact in reducing the carbon footprint of surgical care. Establishing green teams with multidisciplinary champions is an effective strategy to initiate a sustainability program in gastrointestinal surgery. Conclusion: This review establishes standard terminology and outcome measures used to define the environmental footprint of surgical practices. Impactful initiatives to achieve sustainability in surgical practice will require education and multidisciplinary collaborations among key stakeholders including surgeons, researchers, operating room staff, hospital managers, industry partners, and policymakers.
KW - Climate change
KW - Greenhouse gas emissions
KW - Minimally invasive surgery
KW - Recycling
KW - Surgical waste
KW - Sustainability
UR - http://www.scopus.com/inward/record.url?scp=85201798089&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85201798089&partnerID=8YFLogxK
U2 - 10.1007/s00464-024-11141-x
DO - 10.1007/s00464-024-11141-x
M3 - Review article
C2 - 39174709
AN - SCOPUS:85201798089
SN - 0930-2794
VL - 38
SP - 5483
EP - 5504
JO - Surgical Endoscopy
JF - Surgical Endoscopy
IS - 10
ER -