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TPT 7.05 The Carbon footprint of Common Laparoscopic procedures: Streamlining Instruments and Cutting Emissions

腹腔鏡手術のカーボンフットプリント:器具の合理化と排出削減 (AI 翻訳)

Ramsha Khan, Qurrat Atif, Yawar Watali

British journal of surgery📚 査読済 / ジャーナル2026-08-01#エネルギー転換Origin: Global経営インパクト: コスト削減対象セクター: healthcare
DOI: 10.1093/bjs/znag087.245
原典: https://doi.org/10.1093/bjs/znag087.245

🤖 gxceed AI 要約

日本語

本研究は、腹腔鏡手術における再利用可能な手術器具の滅菌プロセスの炭素排出量とコストを推定し、手術器具トレイの最適化により排出量と費用を70〜80%削減できる可能性を示した。11件の手術での使用パターン分析に基づき、高頻度使用器具を「コアセット」に集約する提案を行い、再監査で安全性と効率性を検証する。

English

This study estimates the carbon footprint and cost of sterilizing reusable surgical instruments in laparoscopic surgeries, finding that optimizing surgical trays could reduce emissions and costs by 70-80%. Based on usage patterns across 11 cases, it proposes a streamlined 'Core Set' of high-use instruments, with re-audit planned to validate safety and efficiency.

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

日本の医療機関でもネットゼロ目標が求められており、手術器具の滅菌プロセスは重要な排出源である。本研究の手法は、日本の病院でのトレイ最適化に応用可能で、医療分野のGX推進に貢献する。

In the global GX context

As healthcare systems globally commit to net-zero, this study provides a practical method for reducing carbon emissions in surgical settings. The tray optimization approach can be adopted by hospitals worldwide to meet sustainability targets and reduce costs.

👥 読者別の含意

🔬研究者:手術プロセスの炭素排出量評価と最適化の方法論を提供。

🏢実務担当者:手術器具トレイの見直しによる排出削減とコスト削減の具体的な手法を提供。

🏛政策担当者:医療分野の脱炭素化政策の参考となる実践的データを提供。

📄 Abstract(原文)

Abstract Introduction As healthcare systems commit to net-zero targets, the environmental impact of sterilising reusable surgical instruments is gaining significant attention. Currently, decontaminating and packaging instruments within multi-item sets generates approximately 66–77 g CO₂e per instrument, compared with 189 g CO₂e for individually wrapped items. Aim The aim of this study is to estimate the carbon footprint and average cost of sterilising reusable surgical equipment in Laparoscopic surgeries and optimising surgical trays to reduce both carbon emission and financial expenditure. Methodology Instrument usage patterns were observed across 11 laparoscopic cases at DVH, focusing on General Set and Laparoscopic Set. A heat-map analysis was performed to determine frequency of use for each instrument. High-use items were identified as potential components of a streamlined “Core Set,” while infrequently used items were considered for case-specific or reserve modules. The proposed reduced set will be validated over 4–6 weeks, with re-audit to assess safety, efficiency, reprocessing impact, and carbon savings. Results Preliminary analysis indicates that only a small subset of instruments are consistently required, while the majority of instruments remain mostly unused. Single-use and low-use instruments are expected to contribute disproportionately to both carbon footprint and reprocessing costs. Modelling suggests that rationalising tray contents could reduce tray weight, costs, and associated emissions by 70–80%. Conclusion Our change in policy and practice will be modelled to significantly reduce environmental impact and financial costs. The re-audit will evaluate these outcomes and guide potential expansion to other surgical units, advancing sustainable healthcare practices.

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