Potential Risk and Safety Measures in Laparoscopy in COVID-19 Positive Patients

被引：15

作者：

Tummers, Fokkedien H. M. P. ^{[1
]}

Draaisma, Werner A. ^{[2
]}

Demirkiran, Ahmet ^{[3
]}

Brouwer, Tammo A. ^{[4
]}

Lagerveld, Brunolf W. ^{[5
]}

Lantman, Esther S. van Schrojenstein ^{[6
]}

Spijkers, Klaartje ^{[7
]}

Coppus, Sjors Fpj ^{[8
]}

Jansen, Frank Willem ^{[1
,9
]}

机构：

[1] Leiden Univ, Dept Gynecol, Med Ctr, Leiden, Netherlands

[2] Jeroen Bosch Hosp, Dept Surg, Den Bosch, Netherlands

[3] Red Cross Hosp, Dept Surg, Beverwijk, Netherlands

[4] Med Ctr Leeuwarden, Dept Anesthesiol, Leeuwarden, Netherlands

[5] OLVG, Dept Urol, Amsterdam, Netherlands

[6] Albert Schweitzer Hosp, Dept Med Technol & Med Phys, Dordrecht, Netherlands

[7] Netherlands Patients Federat, Utrecht, Netherlands

[8] Maxima Med Ctr, Dept Gynecol, Veldhoven Eindhoven, Netherlands

[9] Delft Univ Technol, Dept Bio Mech Engn, Delft, Netherlands

来源：

SURGICAL INNOVATION | 2022年 / 29卷 / 01期

关键词：

COVID-19; SARS-CoV-2; laparoscopy; surgical smoke; pneumoperitoneum; health care worker; SCOPE;

D O I：

10.1177/15533506211003527

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background. During the COVID-19 pandemic the question arises if laparoscopy, as an aerosol forming procedure, poses a potential risk for viral transmission of SARS-CoV-2 to healthcare workers. Methods. A literature search was conducted using PubMed, Embase and MEDLINE. Articles reporting information regarding COVID-19 or other relevant viruses and laparoscopy, surgical smoke, aerosols and viral transmission were included. Results. Although aerosols produced during laparoscopy do not originate from the respiratory tract, the main transmission route of SARS-CoV-2, research did show SARS-CoV-2 to be present in other body fluids. The transmission risk via this route is however considered very low. As previous research showed potential viral transmission during laparoscopy for viruses that spread through contaminated body fluids, there might be a potential risk of SARS-CoV-2 transmission during laparoscopy, albeit considered very small. Conclusion. Due to the small risk compared to widely known benefits of laparoscopy, there is no reason to replace laparoscopy by laparotomy due to COVID-19 infection. To avoid the potential small risk of viral transmission, additional safety measures are advised.

引用

页码：73 / 79

页数：7

共 41 条

[1]

Alqadi GO., 2020, J PEDIAT ENDOSC SURG, V2, P61

[2]

[Anonymous], 2020, Novel coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK-sixth update

[3] SARS-CoV-2 Is Present in Peritoneal Fluid in COVID-19 Patients [J].

Coccolini, Federico ;

Tartaglia, Dario ;

Puglisi, Adolfo ;

Giordano, Cesira ;

Pistello, Mauro ;

Lodato, Marianna ;

Chiarugi, Massimo .

ANNALS OF SURGERY, 2020, 272 (03) :E240-E242

[4] Coronavirus disease 2019 pandemic and identifying insufflators with desufflation mode and surgical smoke evacuators for safe CO2 removal [J].

da Costa, Karina M. ;

Saxena, Amulya K. .

ASIAN JOURNAL OF ENDOSCOPIC SURGERY, 2021, 14 (02) :165-169

[5]

DIMARZO F, 2020, J MINIM INVAS GYN, V27, P1424

[6]

Dutch Society of Medical Microbiologists [NVMM] , 2020, CONC AIR TREATM

[7] Nosocomial SARS-CoV-2 transmission in postoperative infection and mortality: analysis of 14 798 procedures [J].

Elliott, J. A. ;

Kenyon, R. ;

Kelliher, G. ;

Gillis, A. E. ;

Tierney, S. ;

Ridgway, P. F. .

BRITISH JOURNAL OF SURGERY, 2020, 107 (13) :1708-1712

[8] Contamination Resulting From Aerosolized Fluid During Laparoscopic Surgery [J].

Englehardt, Richard K. ;

Nowak, Brent M. ;

Seger, Michael V. ;

Duperier, Frank D. .

JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 2014, 18 (03)

[9]

EUBANKS S, 1993, LANGENBECK ARCH SURG, V3, P2

[10] Multisystem Inflammatory Syndrome in US Children and Adolescents [J].

Feldstein, Leora R. ;

Rose, Erica B. ;

Horwitz, Steven M. ;

Collins, Jennifer P. ;

Newhams, Margaret M. ;

Son, Mary Beth F. ;

Newburger, Jane W. ;

Kleinman, Lawrence C. ;

Heidemann, Sabrina M. ;

Martin, Amarilis A. ;

Singh, Aalok R. ;

Li, Simon ;

Tarquinio, Keiko M. ;

Jaggi, Preeti ;

Oster, Matthew E. ;

Zackai, Sheemon P. ;

Gillen, Jennifer ;

Ratner, Adam J. ;

Walsh, Rowan F. ;

Fitzgerald, Julie C. ;

Keenaghan, Michael A. ;

Alharash, Hussam ;

Doymaz, Sule ;

Clouser, Katharine N. ;

Giuliano, John S. ;

Gupta, Anjali ;

Parker, Robert M. ;

Maddux, Aline B. ;

Havalad, Vinod ;

Ramsingh, Stacy ;

Bukulmez, Hulya ;

Bradford, Tamara T. ;

Smith, Lincoln S. ;

Tenforde, Mark W. ;

Carroll, Christopher L. ;

Riggs, Becky J. ;

Gertz, Shira J. ;

Daube, Ariel ;

Lansell, Amanda ;

Coronado Munoz, Alvaro ;

Hobbs, Charlotte V. ;

Marohn, Kimberly L. ;

Halasa, Natasha B. ;

Patel, Manish M. ;

Randolph, Adrienne G. .

NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (04) :334-346

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