The impact on minimally invasive urological cancer surgery during the CIVID-19 pandemic
British Journal of Surgery
; 108(SUPPL 6):vi278, 2021.
Article
in English
| EMBASE | ID: covidwho-1569663
ABSTRACT
Aim:
Learned bodies recommended restricted use of, or extensive precautions when using, laparoscopic/robotic surgery during the Covid-19 pandemic. We aimed to determine whether minimally invasive surgery (MIS) in uro-oncology patients was safe for patients and staff.Method:
From 16 March to 16 June 2020, patients having MIS in a tertiary referral urology centre were identified from a prospectively collected database. Patient characteristics, operative details and 30-day follow-up for adverse events were recorded including Covid-19 tests and results. Any theatre staff Covid-19 event was traced back 14 days to determine any involvement in these cases.Results:
87 patients were eligible for inclusion (33 robotic prostatectomies, 38 laparoscopic prostatectomies, 11 laparoscopic nephrectomies, 5 robotic nephrectomies). All patients were assessed for symptoms of Covid-19 on the day of theatre. 18(21%) patients had pre-operative screening (all swabs, no CT chest). 46(53%) underwent 14 days pre-operative self-isolation. 38(44%) cases were performed with FFP3 protection. No modification to operating procedure was made for any cases. No patients tested positive for Covid-19 in the 30-day postoperative period. No staff member involved tested positive in the postoperative period. 1 patient tested positive pre-operatively, delaying the operation by 7 weeks. No patients tested positive after the introduction of mandatory screening.Conclusions:
Based on our case-series MIS urological surgery appears to be safe for patients and staff, with no increased risk of Covid-19 complications in patients who are asymptomatic pre-operatively. The introduction of mandatory pre-operative swabs for elective patients, and the use of FFP3 protection, did not significantly alter results.
adult; cancer, patient; cancer, surgery; case, study; complication; conference, abstract; COVID-19, testing; female; follow, up; home, quarantine; human; major, clinical, study; male; minimally, invasive, surgery; nephrectomy; pandemic; patient, referral; postoperative, period; preoperative, evaluation; prospective, study; robot, assisted, surgery; robot-assisted, prostatectomy; surgery; thorax; urinary, tract, cancer; urology
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
Language:
English
Journal:
British Journal of Surgery
Year:
2021
Document Type:
Article
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