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SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic.
Surg Endosc. 2020 06; 34(6):2327-2331.SE

Abstract

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.

Authors+Show Affiliations

Yeovil District Hospital, Somerset, BA21 4AT, UK. University College London, Gower St, Bloomsbury, London, WC1E 6BT, UK.Inova Fairfax Hospital Department of Surgery, Falls Church, VA, USA.Franciscan Surgical Associates, Tacoma, WA, USA.McGill University Health Centre, Montreal, CA, Canada.Columbia University Medical Center, New York, NY, USA.Oklahoma University Physicians Tulsa, Tulsa, OK, USA.University of Hawaii, Honolulu, HI, USA.Cedars Sinai Medical Center, Los Angeles, CA, USA.Stony Brook University Department of Surgery, Stony Brook, NY, USA.VIP SURG, Las Vegas, NV, USA.Surgical Associates of Neenah, Neenah, WI, USA.Anglia Ruskin University School of Medicine, Cambridge, UK.Imperial College London, South Wharf Road, London, W2 1NY, UK.University Hospital Virgen del Rocio, Av. Manuel Siurot, Sevilla, Spain.Fondazione IRCCS Ploiclinco San Matteo and Universita Degli Studi Di Pavia, Pavia, Italy.Miami Cancer Institute, Miami, FL, USA.Stony Brook University Department of Surgery, Stony Brook, NY, USA. Aurora.Pryor@stonybrookmedicine.edu.

Pub Type(s)

Journal Article
Practice Guideline

Language

eng

PubMed ID

32323016

Citation

Francis, Nader, et al. "SAGES and EAES Recommendations for Minimally Invasive Surgery During COVID-19 Pandemic." Surgical Endoscopy, vol. 34, no. 6, 2020, pp. 2327-2331.
Francis N, Dort J, Cho E, et al. SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic. Surg Endosc. 2020;34(6):2327-2331.
Francis, N., Dort, J., Cho, E., Feldman, L., Keller, D., Lim, R., Mikami, D., Phillips, E., Spaniolas, K., Tsuda, S., Wasco, K., Arulampalam, T., Sheraz, M., Morales, S., Pietrabissa, A., Asbun, H., & Pryor, A. (2020). SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic. Surgical Endoscopy, 34(6), 2327-2331. https://doi.org/10.1007/s00464-020-07565-w
Francis N, et al. SAGES and EAES Recommendations for Minimally Invasive Surgery During COVID-19 Pandemic. Surg Endosc. 2020;34(6):2327-2331. PubMed PMID: 32323016.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic. AU - Francis,Nader, AU - Dort,Jonathan, AU - Cho,Eugene, AU - Feldman,Liane, AU - Keller,Deborah, AU - Lim,Rob, AU - Mikami,Dean, AU - Phillips,Edward, AU - Spaniolas,Konstantinos, AU - Tsuda,Shawn, AU - Wasco,Kevin, AU - Arulampalam,Tan, AU - Sheraz,Markar, AU - Morales,Salvador, AU - Pietrabissa,Andrea, AU - Asbun,Horacio, AU - Pryor,Aurora, Y1 - 2020/04/22/ PY - 2020/04/09/received PY - 2020/04/10/accepted PY - 2020/4/24/pubmed PY - 2020/5/15/medline PY - 2020/4/24/entrez KW - COVID-19 KW - Laparoscopy KW - Surgery SP - 2327 EP - 2331 JF - Surgical endoscopy JO - Surg Endosc VL - 34 IS - 6 N2 - 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. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/32323016/SAGES_and_EAES_recommendations_for_minimally_invasive_surgery_during_COVID_19_pandemic_ DB - PRIME DP - Unbound Medicine ER -