Minimally invasive urologic surgery is safe during COVID-19: experience from two high-volume centers in Italy.
Adult
Aged
Aged, 80 and over
Betacoronavirus
COVID-19
Coronavirus Infections
/ prevention & control
Female
Follow-Up Studies
Hospitals, High-Volume
Humans
Infection Control
/ methods
Italy
Laparoscopy
/ methods
Male
Middle Aged
Outcome Assessment, Health Care
Pandemics
/ prevention & control
Pneumonia, Viral
/ prevention & control
Robotic Surgical Procedures
/ methods
SARS-CoV-2
Urologic Surgical Procedures
/ methods
COVID-19
Laparoscopy
Robotics
Urology
Journal
Journal of robotic surgery
ISSN: 1863-2491
Titre abrégé: J Robot Surg
Pays: England
ID NLM: 101300401
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
received:
20
05
2020
accepted:
26
05
2020
pubmed:
17
6
2020
medline:
1
12
2020
entrez:
17
6
2020
Statut:
ppublish
Résumé
Potential risks of COVID-19 spread during minimally invasive procedures caused several concerns among surgeons, despite the lack of high-level evidence. Urological robotic and laparoscopic surgery is performed in elective setting in almost all occasions, thus allowing adequate planning and stratification. Two high-volume urological centers in Italy performed 77 robotic and laparoscopic surgeries during the "lockdown" period and adopted various strategies to prevent contamination. First of all, all patients were tested negative with nasopharyngeal swab before the surgical intervention. Patients and personnel were provided adequate personal protective equipment and intraoperative strategies to prevent smoke formation and pneumoperitoneum spread were adopted. No patients nor staff members tested positive for COVID-19 during a 15-day follow-up period. In conclusion, minimally invasive urologic surgery can be safely performed during the pandemic period with adequate planning. We believe that renouncing the benefits of it would be counterproductive, especially in a scenario of long-lasting cohabitation with the virus.
Identifiants
pubmed: 32542448
doi: 10.1007/s11701-020-01099-y
pii: 10.1007/s11701-020-01099-y
pmc: PMC7295143
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
909-911Références
Ann Surg. 2020 Jul;272(1):e5-e6
pubmed: 32221118
EClinicalMedicine. 2020 Apr 05;21:100331
pubmed: 32292899
Science. 2020 May 22;368(6493):860-868
pubmed: 32291278
J Minim Invasive Gynecol. 2020 May - Jun;27(4):792-793
pubmed: 32251839
Eur Urol. 2020 Jul;78(1):e12-e13
pubmed: 32336644
J Trauma Acute Care Surg. 2020 Jun;88(6):715-718
pubmed: 32282750
Eur Urol. 2020 Jul;78(1):21-28
pubmed: 32376137