RecruitingNCT06844604

Carbon Footprint Assessment for Robotic, Laparoscopic and Open Colorectal Operations to Enhance Environmental Sustainability

Life Cylce Assessment (LCA) for Different Minimal Invasive Surgical Techniques: A Comparison of Robotic vs . Laparoscopic vs Open Colorectal Operation and Identification of Most Effective Carbon Foot Print Reduction Targets.

Sponsor

University Hospital, Basel, Switzerland

Enrollment

30 participants

Start Date

Mar 19, 2025

Study Type

OBSERVATIONAL

Conditions

Colorectal Operations

Summary

The goal of this study is to conduct a life cycle assessment of robotic, laparoscopic and open colorectal procedures and compare their climate impact. Further the investigators want to identify major targets for possible reduction in the CO2 footprint in colorectal procedures. The main questions are: Researchers will identify used and prepared materials and instruments for the individual procedures and weigh them individually. SimaPro databases will help calculate the carbon footprints for the used instruments. Additionally, energy waste will be measured and carbon footprint of anesthesia will be estimated with previous existing data from other studies.

Eligibility

Min Age: 18 Years

Inclusion Criteria5

Elective operations which are routinely performed robot-assisted, laparoscopic and open:
Only Colorectal procedures involving a bowel resection will be included (colectomies (right/left), anterior resections)
General anesthesia
Aged > 18 years
ASA classification from I to III

Exclusion Criteria6

Procedures, which were uncompleted due to complications
Procedures, which switched modality (laparoscopic to open, robot-assisted to open)
Emergency procedures (mainly laparoscopic, unforeseen risk factors that lead to a change of modality, higher volume of used compressions and other materials).
Aged younger than 18
ASA classification > III
Vulnerable patient groups (pregnancy, patients with mental disability)

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Interventions

PROCEDURErobotic colorectal procedures

any colorectal procedure planed robot-assisted

PROCEDURElaparoscopic colorectal procedures

any colorectal procedure planed laparoscopically

PROCEDUREopen colorectal procedures

any colorectal procedure planed open

Locations(2)

Clarunis

Basel, Switzerland

University Hospital of Basel

Basel, Switzerland

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NCT06844604