Evidence map›Paper›PMID 42652327›Full record

ReviewInternational journal of environmental research and public health2026

Green Surgery: Current Evidence, Challenges, and Future Directions.

Aikaterini Mastoraki, Maximos Frountzas, Foivos-Konstantinos Stamatis, Maria Batagianni, Emmanouil I Kapetanakis, Panagiotis Sakarellos, Paraskevas Stamopoulos, Napoleon Moulavasilis, Evangelos Fragkiadis, Dimitrios Schizas

Abstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Aikaterini MastorakiFirst Department of Surgery, "Laikon" General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Maximos FrountzasDepartment of Colorectal Surgery, Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.ORCID 0000-0001-9157-9860
Foivos-Konstantinos StamatisFirst Department of Surgery, "Laikon" General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0002-4617-2831
Maria BatagianniFirst Department of Surgery, "Laikon" General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0009-0009-4011-3935
Emmanouil I KapetanakisDepartment of Thoracic Surgery, "Attikon" University Hospital, National and Kapodistrian University of Athens, 12461 Athens, Greece.ORCID 0000-0001-8354-4641
Panagiotis SakarellosFirst Department of Surgery, "Laikon" General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0001-6427-8798
Paraskevas StamopoulosDepartment of Surgery, General and Oncologic Hospital of Kifissia 'Agii Anargiri', National and Kapodistrian University of Athens, 14564 Athens, Greece.ORCID 0000-0002-7261-0014
Napoleon MoulavasilisFirst Department of Urology, "Laikon" General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0002-1820-9027
Evangelos FragkiadisFirst Department of Urology, "Laikon" General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0002-9414-6953
Dimitrios SchizasFirst Department of Surgery, "Laikon" General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece.ORCID 0000-0002-7046-0112

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Climate change has been identified by the World Health Organization (WHO) as "the single greatest health threat to humanity". To investigate this subject, we conducted a narrative review of the literature about sustainability in the OR, with the aim of exploring the existing knowledge and identifying prevailing challenges in the field. A combined automated and manual database search of the literature was performed using Medline (PubMed), Scopus, Ovid, and the Cochrane Library, covering publications available up to and including 21 May 2025. The significance of environmental sustainability is recognized across all healthcare systems. To fulfil the United Nations Sustainable Development Goals, the healthcare sector must undergo a transformation towards more eco-friendly practices, which will also affect clinical decision-making. Net-zero is an internationally agreed goal for avoiding worsening global heating in the second half of the 21st century, as it aims to balance the quantities of greenhouse gases released into and removed from the atmosphere, achieving carbon neutrality. Nevertheless, the operating room (OR) is among the most significant contributors to environmental pollution, with the major carbon hotspots determined by the use of energy, procurement and disposal of consumables and the waste of water. In response to this challenge, leading medical societies, surgical teams, government bodies, and industry stakeholders endorse Green Surgery (GS) by taking steps to address healthcare sustainability and its impact on climate change. Therefore, a movement toward "greening" healthcare, or improving the environmental footprint of healthcare has been built.

Indexed as

Conservation of Natural ResourcesClimate ChangeEnvironmental PollutionHumansSustainable Developmentclinical practicefuture perspectivegreen surgeryOR sustainability

Identifiers

PMID42652327
PMCPMC13512838

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.