Gasless laparoscopy revisited in the SARS-CoV-2 pandemic

Reluctance towards general acceptance of gasless laparoscopic surgery has been mainly due to reservations on whether these techniques would create a greater extent of pain and surgical stress at the targeted site of abdominal wall lifting, and also whether the operating space achieved would be sufficient for the scope to be maneuvered effectively and safely in the abdominal cavity. With the widespread mortality in patients infected by SARS-CoV-2, the most relevant gasless endoscopic techniques have been revisited to explore options in performing endoscopic procedures, especially in children with more safety by reducing aerosolized viral contamination.