RT Journal Article
T1 SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic.
A1 Francis, Nader
A1 Dort, Jonathan
A1 Cho, Eugene
A1 Feldman, Liane
A1 Keller, Deborah
A1 Lim, Rob
A1 Mikami, Dean
A1 Phillips, Edward
A1 Spaniolas, Konstantinos
A1 Tsuda, Shawn
A1 Wasco, Kevin
A1 Arulampalam, Tan
A1 Sheraz, Markar
A1 Morales, Salvador
A1 Pietrabissa, Andrea
A1 Asbun, Horacio
A1 Pryor, Aurora
K1 COVID-19
K1 Laparoscopy
K1 Surgery
AB The unprecedented pandemic of COVID-19 has impacted many lives and affects the whole healthcare systems globally. In addition to the considerable workload challenges, surgeons are faced with a number of uncertainties regarding their own safety, practice, and overall patient care. This guide has been drafted at short notice to advise on specific issues related to surgical service provision and the safety of minimally invasive surgery during the COVID-19 pandemic. Although laparoscopy can theoretically lead to aerosolization of blood borne viruses, there is no evidence available to confirm this is the case with COVID-19. The ultimate decision on the approach should be made after considering the proven benefits of laparoscopic techniques versus the potential theoretical risks of aerosolization. Nevertheless, erring on the side of safety would warrant treating the coronavirus as exhibiting similar aerosolization properties and all members of the OR staff should use personal protective equipment (PPE) in all surgical procedures during the pandemic regardless of known or suspected COVID status. Pneumoperitoneum should be safely evacuated via a filtration system before closure, trocar removal, specimen extraction, or conversion to open. All emergent endoscopic procedures performed during the pandemic should be considered as high risk and PPE must be used by all endoscopy staff.
YR 2020
FD 2020-04-22
LK http://hdl.handle.net/10668/15417
UL http://hdl.handle.net/10668/15417
LA en
DS RISalud
RD Apr 7, 2025