2a9ebb27220fad059983eb6087bd89cc 328055.pdf fb02597648bcd4af40ff709d2a7c9e542f3de3f0 328055.pdf b14650564e0111d265b224188f67f091dc82c188219adad39bff8b27f73f179b 328055.pdf Title: Green surgery: a systematic review of the environmental impact of laparotomy, laparoscopy, and robotics Subject: Updates in Surgery, https://doi.org/10.1007/s13304-025-02221-1 Keywords: Sustainability; Carbon footprint; Surgery; Open surgery; Minimally invasive surgery; Surgical outcomes Author: Miguel F. Cunha Creator: Springer Producer: Acrobat Distiller 10.1.8 (Windows) CreationDate: Wed May 21 12:31:50 2025 CEST ModDate: Fri Aug 29 20:37:50 2025 CEST Custom Metadata: yes Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: AcroForm JavaScript: no Pages: 10 Encrypted: no Page size: 595.276 x 790.866 pts Page rot: 0 File size: 646337 bytes Optimized: yes PDF version: 1.4 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- MyriadPro-SemiCn Type 1C WinAnsi yes no yes 429 0 MyriadPro-Semibold Type 1C Custom yes no yes 430 0 MyriadPro-SemiboldSemiCn Type 1C Custom yes no yes 427 0 TCDXAV+MyriadPro-Bold Type 1C WinAnsi yes yes yes 432 0 DWHDSH+STIX-Regular Type 1C Custom yes yes yes 433 0 PXXCGX+Wingdings-Regular Type 1C WinAnsi yes yes yes 450 0 RVPXTS+MyriadPro-SemiCn2 Type 1C WinAnsi yes yes yes 474 0 MyriadPro-BoldSemiCn Type 1C Custom yes no yes 163 0 MJAUTR+STIX-Bold Type 1C WinAnsi yes yes yes 214 0 STIX-Italic Type 1C WinAnsi yes no yes 266 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-05-01 04:21:36 CEST RepresentationInformation: 328055.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-04-30 10:49:39 CEST Size: 646337 Format: PDF Version: 1.4 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Linearized PDF PDFMetadata: Objects: 526 FreeObjects: 1 IncrementalUpdates: 1 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: en-US Outlines: Item: Title: Green surgery: a systematic review of the environmental impact of laparotomy, laparoscopy, and robotics Children: Item: Title: Abstract Item: Title: Introduction Item: Title: Methods Children: Item: Title: Search strategy Item: Title: Inclusion and exclusion criteria Item: Title: Data evaluation and extraction Item: Title: Data quality assessment Item: Title: Statistic considerations Item: Title: Results Children: Item: Title: Quality assessment Item: Title: Characteristics of included articles Children: Item: Title: Outcomes Item: Title: Environmental impact of different surgical approaches Item: Title: Environmental impact of single-use and non-single-use instruments Item: Title: Environmental impact of carbon dioxide used for pneumoperitoneum Item: Title: Clinical outcomes Item: Title: Discussion Item: Title: Conclusion Item: Title: Acknowledgements Item: Title: References Info: Title: Green surgery: a systematic review of the environmental impact of laparotomy, laparoscopy, and robotics Author: Miguel F. Cunha Subject: Updates in Surgery, https://doi.org/10.1007/s13304-025-02221-1 Keywords: Sustainability; Carbon footprint; Surgery; Open surgery; Minimally invasive surgery; Surgical outcomes Creator: Springer Producer: Acrobat Distiller 10.1.8 (Windows) CreationDate: Wed May 21 13:01:50 CEST 2025 ModDate: Fri Aug 29 21:07:50 CEST 2025 ID: 0x96e711b214e7c743a021428cb5c14ce6, 0xcedeafe3dbc60544afeed757c4dc78b0 Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: TCDXAV+MyriadPro-Bold FontSubset: true FirstChar: 0 LastChar: 255 FontDescriptor: FontName: TCDXAV+MyriadPro-Bold Flags: Nonsymbolic FontBBox: -163, -250, 1256, 989 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: DWHDSH+STIX-Regular FontSubset: true FirstChar: 27 LastChar: 252 FontDescriptor: FontName: DWHDSH+STIX-Regular Flags: Serif, Nonsymbolic FontBBox: -970, -486, 2208, 1023 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: PXXCGX+Wingdings-Regular FontSubset: true FirstChar: 0 LastChar: 255 FontDescriptor: FontName: PXXCGX+Wingdings-Regular Flags: Nonsymbolic FontBBox: 0, -103, 1359, 439 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MyriadPro-BoldSemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-BoldSemiCn Flags: Nonsymbolic FontBBox: -133, -250, 1161, 894 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: MJAUTR+STIX-Bold FontSubset: true FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MJAUTR+STIX-Bold Flags: Serif, Nonsymbolic FontBBox: -998, -552, 2000, 1055 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: STIX-Italic FirstChar: 0 LastChar: 255 FontDescriptor: FontName: STIX-Italic Flags: Serif, Nonsymbolic, Italic FontBBox: -970, -305, 1429, 1023 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MyriadPro-SemiboldSemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-SemiboldSemiCn Flags: Nonsymbolic FontBBox: -131, -250, 1115, 886 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true Font: BaseFont: MyriadPro-SemiCn FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-SemiCn Flags: Nonsymbolic FontBBox: -128, -250, 1059, 876 FontFile3: true Encoding: WinAnsiEncoding ToUnicode: true Font: BaseFont: MyriadPro-Semibold FirstChar: 0 LastChar: 255 FontDescriptor: FontName: MyriadPro-Semibold Flags: Nonsymbolic FontBBox: -161, -250, 1198, 972 FontFile3: true EncodingDictionary: BaseEncoding: WinAnsiEncoding Differences: true ToUnicode: true XMP: 2025-05-21T16:01:50+05:30 Springer 2025-08-30T00:07:50+05:30 2025-08-30T00:07:50+05:30 Acrobat Distiller 10.1.8 (Windows) Sustainability; Carbon footprint; Surgery; Open surgery; Minimally invasive surgery; Surgical outcomes application/pdf https://doi.org/10.1007/s13304-025-02221-1 Springer International Publishing Updates in Surgery, https://doi.org/10.1007/s13304-025-02221-1 Sustainability Carbon footprint Surgery Open surgery Minimally invasive surgery Surgical outcomes Green surgery: a systematic review of the environmental impact of laparotomy, laparoscopy, and robotics Miguel F. Cunha João Cunha Neves Joana Roseira Gianluca Pellino Pedro Castelo-branco 10.1007/s13304-025-02221-1 2010-04-23 true springer.com springerlink.com https://doi.org/10.1007/s13304-025-02221-1 10.1007/s13304-025-02221-1 2038-3312 77 5 1683 1692 journal Updates in Surgery The Author(s) 2010-04-23 true 10.1007/s13304-025-02221-1 noindex springer.com springerlink.com VoR uuid:a5b49a59-03cd-49e8-9dc6-bb530a0e6a0b uuid:91a54c06-cf16-4821-a349-0999addd9685 default 1 converted uuid:513d02f4-0904-4fa9-b826-bff7cb2e8e81 converted to PDF/A-2b pdfToolbox 2025-08-30T00:07:17+05:30 converted uuid:441d1d63-1a46-4417-9270-8bbfb1f45aad converted to PDF/A-2b pdfToolbox 2025-08-30T00:07:49+05:30 2 B Miguel F. 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