气候变化对全球健康构成重大威胁，而包括手术在内的医疗保健会导致温室气体排放。人们已经努力促进手术的可持续性，但有关整形手术可持续性的文献仍然有限。使用生命周期分析来评估和量化与非黑色素瘤皮肤癌手术中使用的三种不同重建方法相关的环境排放：直接闭合、劈层植皮、全层植皮。分析于 2023 年 3 月在英国斯旺西莫里斯顿医院进行。然后估算了英格兰和威尔士非黑色素瘤皮肤癌手术的碳足迹。非黑色素瘤皮肤癌手术的平均碳排放量为 29.82 至 34.31 kgCO2eq。剧院能源消耗（4.29-8.76 千克二氧化碳当量）和消耗品（16.87 千克二氧化碳当量）是重要因素。非黑色素瘤皮肤癌手术期间产生的废物占 1.31 千克二氧化碳当量，可重复使用手术器械的灭菌导致 1.92 千克二氧化碳当量的碳排放。与此同时，交通、敷料、药品和洗衣分别占 0.57、2.65、1.85 和 0.38 kgCO2eq。与分层皮片切除术（43.80-49.06 kgCO2eq）和全层皮片切除术（31.58-37.02 kgCO2eq）相比，直接闭合切除非黑色素瘤皮肤癌（19.29-22.41 kgCO2eq）的碳排放量最低。据估计，2021 年，威尔士非黑色素瘤皮肤癌手术的年碳足迹为 306,775 千克二氧化碳当量，英格兰为 4,402,650 千克二氧化碳当量。可以预测，到 2035 年，威尔士非黑色素瘤皮肤癌手术的碳排放量将达到 388,927 千克二氧化碳当量，英格兰将达到 5,419,770 千克二氧化碳当量。这项研究强调了整形手术中非黑色素瘤皮肤癌对环境的影响部门并强调可持续实践的必要性。外科医生和政策制定者之间的合作至关重要，建议进一步收集数据以便更好地进行分析。© 作者 2024。由牛津大学出版社代表 BJS 基金会有限公司出版。

Climate change poses a significant global health threat and healthcare, including surgery, contributes to greenhouse gas emissions. Efforts have been made to promote sustainability in surgery, but the literature on sustainability in plastic surgery remains limited.A life-cycle analysis was used to assess and quantify the environmental emissions associated with three distinct reconstructive methods utilized in non-melanoma skin cancer surgery: direct closure, split-thickness skin graft, and full-thickness skin graft. Analyses were conducted in March 2023 in Morriston Hospital, Swansea, UK. The carbon footprints for non-melanoma skin cancer surgery in England and Wales were then estimated.The mean carbon emissions for non-melanoma skin cancer surgery ranged from 29.82 to 34.31 kgCO₂eq. Theatre energy consumption (4.29-8.76 kgCO₂eq) and consumables (16.87 kgCO₂eq) were significant contributors. Waste produced during non-melanoma skin cancer surgery accounted for 1.31 kgCO₂eq and sterilization of reusable surgical instruments resulted in 1.92 kgCO₂eq of carbon emissions. Meanwhile, transportation, dressings, pharmaceuticals, and laundry accounted for 0.57, 2.65, 1.85, and 0.38 kgCO₂eq respectively. The excision of non-melanoma skin cancer with direct closure (19.29-22.41 kgCO₂eq) resulted in the lowest carbon emissions compared with excision with split-thickness skin graft (43.80-49.06 kgCO₂eq) and full-thickness skin graft (31.58-37.02 kgCO₂eq). In 2021, it was estimated that non-melanoma skin cancer surgery had an annual carbon footprint of 306 775 kgCO₂eq in Wales and 4 402 650 kgCO₂eq in England. It was possible to predict that, by 2035, carbon emissions from non-melanoma skin cancer surgery will account for 388 927 kgCO₂eq in Wales and 5 419 770 kgCO₂eq in England.This study highlights the environmental impact of non-melanoma skin cancer in plastic surgery departments and emphasizes the need for sustainable practices. Collaboration between surgeons and policymakers is essential and further data collection is recommended for better analysis.© The Author(s) 2024. Published by Oxford University Press on behalf of BJS Foundation Ltd.