Academic Journal
Environmental Implications of Discretionary Single-Use Devices in Sleeve Gastrectomy: Exploring the Impact of Inter-Surgeon Variability in a Retrospective Pilot Study.
| Τίτλος: | Environmental Implications of Discretionary Single-Use Devices in Sleeve Gastrectomy: Exploring the Impact of Inter-Surgeon Variability in a Retrospective Pilot Study. |
|---|---|
| Συγγραφείς: | Lew C; Department of General Surgery, The Department of Health and Human Services, Royal Hobart Hospital, Hobart, TAS, Australia., Zhang C; Epworth HealthCare, Melbourne, VIC, Australia., Dhir A; Department of General Surgery, The Department of Health and Human Services, Royal Hobart Hospital, Hobart, TAS, Australia.; Epworth HealthCare, Melbourne, VIC, Australia.; La Trobe University Bundoora Campus, Bundoora, VIC, Australia., McKenzie D; Epworth HealthCare, Melbourne, VIC, Australia.; Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia., Padayachee L; Epworth HealthCare, Melbourne, VIC, Australia., Snow H; Epworth HealthCare, Melbourne, VIC, Australia.; Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia., Dunne B; Epworth HealthCare, Melbourne, VIC, Australia.; Cardiothoracic Department, Royal Melbourne Hospital, Melbourne, VIC, Australia.; Department of Critical Care, Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australia., Foo G; Division of Surgery, Austin Health, Heidelberg, VIC, Australia. |
| Πηγή: | Surgical innovation [Surg Innov] 2026 Oct; Vol. 33 (5), pp. 466-474. Date of Electronic Publication: 2026 Mar 23. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101233809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1553-3514 (Electronic) Linking ISSN: 15533506 NLM ISO Abbreviation: Surg Innov Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Thousand Oaks, CA : Sage Publications |
| Ιατρικοί όροι (MeSH): | Gastrectomy*/instrumentation , Gastrectomy*/statistics & numerical data , Gastrectomy*/methods , Laparoscopy*/instrumentation , Laparoscopy*/statistics & numerical data , Bariatric Surgery*/instrumentation , Bariatric Surgery*/statistics & numerical data , Surgeons*/statistics & numerical data, Length of Stay/statistics & numerical data ; Pilot Projects ; Humans ; Retrospective Studies ; Female ; Male ; Operative Time ; Adult ; Middle Aged ; Carbon Footprint |
| Περίληψη: | IntroductionOperating theatres contribute disproportionately to healthcare's carbon footprint, with single-use devices (SUDs) representing a major source of waste and emissions. While life cycle assessments (LCAs) quantify product-specific impact, they are often impractical for routine use. This pilot study introduces a framework for assessing inter-surgeon variability in SUD use as a pragmatic consumption-based surrogate marker for environmental burden, offering a scalable and actionable alternative to product-level carbon foot printing.MethodA retrospective study of 125 elective laparoscopic sleeve gastrectomy (LSG) procedures performed by five bariatric surgeons was conducted. Discretionary equipment (DE) use, operative time, and length of stay (LOS) were analysed using Analysis of Means (ANOM) with 99.9% decision limits to assess inter-surgeon variability.ResultsPatient demographics were comparable across surgeons. Mean DE use ranged from 1.9-6.0 items per case, with corresponding cost variation (mean $827.40 overall), and no surgeon's mean fell within decision limits. Operative time varied across surgeons, while LOS ranged from 1.9-3.2 days. Higher discretionary device use was not associated with shorter operative times or reduced LOS.ConclusionSubstantial inter-surgeon variability in discretionary SUD use was observed within a standardised elective procedure. These findings suggest that resource consumption may be driven by individual practice patterns than clinical necessity, identifying a tangible opportunity for sustainability-focused audit and benchmarking. By adopting consumption-based procedural metrics as a practical alternative to product-level carbon foot printing, surgical teams can begin addressing environmental impact using routine workflows. Future studies incorporating complication rates and direct environmental measurements will clarify the long-term implications of lower-intensity device utilisation. |
| Competing Interests: | Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Contributed Indexing: | Keywords: carbon footprint; laparoscopic sleeve gastrectomy; single-use devices; sustainability |
| Entry Date(s): | Date Created: 20260323 Date Completed: 20260914 Latest Revision: 20260914 |
| Update Code: | 20260915 |
| DOI: | 10.1177/15533506261436861 |
| PMID: | 41871298 |
| Βάση Δεδομένων: | MEDLINE |
καταχωρήστε σχόλιο πρώτοι!