Measuring the carbon cost of hand surgery: A single-centre observational study.
手外科手術の炭素コストの測定：単一施設観察研究 (AI 翻訳)
Louise Leijonberg, Sandip Hindocha, K. Maheshwari
🤖 gxceed AI 要約
日本語
英国NHS病院で手外科手術の炭素排出量をGHGプロトコルに基づき評価。5症例の分析では、症例あたり8.32〜22.56 kg CO2、半日手術リストあたり約300 kg CO2と推定。Scope 2（購入電力）が最大の排出源で、続いてScope 1（暖房、麻酔ガス）、Scope 3（スタッフ通勤、使い捨て消耗品）となった。手術室のエネルギー効率化や再生可能エネルギー転換、グリーン通勤が削減策として示唆された。
English
This pilot study quantifies carbon emissions of hand surgery procedures at a UK NHS hospital using the GHG Protocol. For five trauma cases, per-case emissions ranged 8.32-22.56 kg CO2, while total per half-day list reached ~300 kg CO2. Scope 2 (purchased electricity) was the largest contributor, followed by Scope 1 (heating, anaesthetic gases) and Scope 3 (staff travel, single-use consumables). Recommendations include energy-efficient infrastructure, renewable energy, and greener staff transport.
Unofficial AI-generated summary based on the public title and abstract. Not an official translation.
📝 gxceed 編集解説 — Why this matters
日本のGX文脈において
日本でも医療分野のカーボンフットプリントへの関心が高まっており、特に手術室のエネルギー消費は削減余地が大きい。本論文はSSBJやGHG排出開示の文脈で、医療機関がサプライチェーン全体の排出を把握する参考事例となる。
In the global GX context
This study adds to the growing body of evidence on surgical carbon footprints, relevant for healthcare organizations under TCFD/ISSB frameworks. It highlights the importance of Scope 2 and Scope 3 emissions in operating theatres, offering a methodology that can be replicated in other hospital settings globally.
👥 読者別の含意
🔬研究者:Provides a baseline methodology for carbon accounting in hand surgery, encouraging larger multicentre studies with improved energy metering.
🏢実務担当者:Helps hospital sustainability teams identify key emission sources (electricity, heating, staff travel) and prioritize reduction interventions.
🏛政策担当者:Supports healthcare decarbonization policy by quantifying the cumulative impact of high-volume, short procedures.
📄 Abstract（原文）
Purpose Healthcare contributes considerably to global greenhouse gas emissions, with operating theatres amongst the most energy-intensive hospital environments. While carbon footprints have been quantified for several surgical procedures, the environmental impact of hand surgery, characterised by high case volumes and short procedures, remains poorly studied. This study aims to quantify carbon emissions of hand surgery procedures. Methods This single-centre observational pilot study quantified the carbon emissions associated with hand surgery procedures performed during two half-day theatre lists at a UK NHS hospital. Data was collected under the Greenhouse Gas Protocol Scopes and emissions calculated using UK Government greenhouse gas conversion factors. Data collected included theatre electricity and heating, anaesthetic use, staff and patient transport, waste incineration, supply-chain emissions, and instrument sterilisation. Results Five trauma hand surgery cases were analysed. Case-level emissions ranged from 8.32 to 22.56 kg CO2. When combined at a list level, total emissions were substantial, reaching 311.36 kg CO2 and 285.30 kg CO2 per half-day list. Purchased electricity (Scope 2) was the largest contributor, followed by heating and anaesthetic gases (Scope 1). Scope 3 emissions were largely attributed to staff travel and single-use consumable supply-chain emissions, while waste disposal and reusable instrument sterilisation contributed comparatively little. Conclusions Individual hand surgery procedures have a relatively low carbon footprint, but the cumulative emissions at list-level are large. Theatre energy use, heating and staff transport represent key targets for emission reduction. Interventions focusing on energy-efficient infrastructure, renewable energy, greener staff travel, and reduced reliance on single-use consumables may result in meaningful environmental benefits. Larger multicentre studies with improved energy metering are needed to refine estimates and guide sustainable surgical practice. Clinical relevance Quantifying the carbon emissions associated with common hand surgery procedures may help hand surgery teams and healthcare organisations identify opportunities to reduce emissions.
🔗 Provenance — このレコードを発見したソース
- semanticscholar https://doi.org/10.1016/j.jham.2026.100448first seen 2026-06-10 05:13:22
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