Comparison of surgical smoke between open surgery and laparoscopic surgery for colorectal disease in the COVID-19 era.
Surg Endosc
; 36(2): 1243-1250, 2022 02.
Article
in English
| MEDLINE | ID: covidwho-1092681
ABSTRACT
BACKGROUND:
Surgical smoke during operation is a well-known health hazard for medical staff. This study aimed to investigate the dynamics of surgical smoke during open surgery or laparoscopic surgery for colorectal disease.METHODS:
This study quantitated particulate matter (PM) counts as part of surgical smoke in 31 consecutive patients who underwent colectomy at the Niigata City General Hospital using a laser particle counter. Particles were graded by size as ≤ 2.5 µm PM (PM2.5) or > 2.5 µm PM (large PM). Operative procedures were categorized as either open surgery (n = 14) or laparoscopic surgery (n = 17).RESULTS:
The median patient age was 72 (range 41-89) years and 58.1% were male. The total PM2.5, PM2.5 per hour, and maximum PM2.5 per minute counts during operation were significantly higher in open surgery than in laparoscopic surgery (P = 0.001, P < 0.001, and P = 0.029, respectively). Large PM counts (total, per hour, and maximum per minute) were also higher in the open surgery group than in the laparoscopic surgery group. The maximum PM2.5 concentration recorded was 38.6 µm/m3, which is considered "unhealthy for sensitive groups" according to the U.S. Environment Protection Agency air quality index standards, if it was a 24-h period mean value.CONCLUSION:
Exposure to surgical smoke is lower during laparoscopic surgery than during open surgery for colorectal diseases.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Colorectal Neoplasms
/
Laparoscopy
/
COVID-19
Type of study:
Experimental Studies
/
Randomized controlled trials
Limits:
Adult
/
Aged
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Surg Endosc
Journal subject:
Diagnostic Imaging
/
Gastroenterology
Year:
2022
Document Type:
Article
Affiliation country:
S00464-021-08394-1
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