EAES Recommendations for Recovery Plan in Minimally Invasive Surgery Amid COVID-19 Pandemic
Por:
Arezzo, A, Francis, N, Mintz, Y, Adamina, M, Antoniou, SA, Bouvy, N, Copaescu, C, de Manzini, N, Di Lorenzo, N, Morales-Conde, S, Muller-Stich, BP, Nickel, F, Popa, D, Tait, D, Thomas, C, Nimmo, S, Paraskevis, D, Pietrabissa, A, Balagué Ponz C., Valdastri, Pietro
Publicada:
1 ene 2021
Ahead of Print:
1 nov 2020
Resumen:
Background COVID-19 pandemic presented an unexpected challenge for the surgical community in general and Minimally Invasive Surgery (MIS) specialists in particular. This document aims to summarize recent evidence and experts' opinion and formulate recommendations to guide the surgical community on how to best organize the recovery plan for surgical activity across different sub-specialities after the COVID-19 pandemic. Methods Recommendations were developed through a Delphi process for establishment of expert consensus. Domain topics were formulated and subsequently subdivided into questions pertinent to different surgical specialities following the COVID-19 crisis. Sixty-five experts from 24 countries, representing the entire EAES board, were invited. Fifty clinicians and six engineers accepted the invitation and drafted statements based on specific key questions. Anonymous voting on the statements was performed until consensus was achieved, defined by at least 70% agreement. Results A total of 92 consensus statements were formulated with regard to safe resumption of surgery across eight domains, addressing general surgery, upper GI, lower GI, bariatrics, endocrine, HPB, abdominal wall and technology/research. The statements addressed elective and emergency services across all subspecialties with specific attention to the role of MIS during the recovery plan. Eighty-four of the statements were approved during the first round of Delphi voting (91.3%) and another 8 during the following round after substantial modification, resulting in a 100% consensus. Conclusion The recommendations formulated by the EAES board establish a framework for resumption of surgery following COVID-19 pandemic with particular focus on the role of MIS across surgical specialities. The statements have the potential for wide application in the clinical setting, education activities and research work across different healthcare systems.
Filiaciones:
Arezzo, A:
Univ Torino, Dept Surg Sci, Corso Dogliotti 14, I-10126 Turin, Italy
Francis, N:
Yeovil Dist Hosp NHS Fdn Trust, Dept Gen Surg, Yeovil, England
Northwick Pk & St Marks Hosp, Northwick Pk Inst Med Res, Griffin Inst, Watford Rd, London HA1 3UJ, England
Mintz, Y:
Hebrew Univ Jerusalem, Dept Surg, Med Ctr, Jerusalem, Israel
Adamina, M:
Cantonal Hosp Winterthur, Clin Visceral & Thorac Surg, Dept Surg, CH-8401 Zurich, Switzerland
Univ Basel, Fac Med, CH-4051 Basel, Switzerland
Antoniou, SA:
European Univ Cyprus, Med Sch, Nicosia, Cyprus
Mediterranean Hosp Cyprus, Dept Surg, Limassol, Cyprus
Bouvy, N:
Maastricht Univ, Med Ctr, Dept Surg, Maastricht, Netherlands
Copaescu, C:
Ponderas Acad Hosp, Dept Gastrointestinal & Bariatr Surg, Bucharest, Romania
de Manzini, N:
Univ Trieste, Univ Hosp Trieste, Dept Med Surg & Hlth Sci, Gen Surg Clin, Trieste, Italy
Di Lorenzo, N:
Univ Roma Tor Vergata, Dept Surg Sci, Rome, Italy
Morales-Conde, S:
Univ Seville, Univ Hosp Virgen del Rocio, Dept Gen & Digest Surg, Unit Innovat Minimally Invas Surg, Seville, Spain
Muller-Stich, BP:
Univ Heidelberg Hosp, Dept Gen Visceral & Transplantat Surg, Heidelberg, Germany
Nickel, F:
Univ Heidelberg Hosp, Dept Gen Visceral & Transplantat Surg, Heidelberg, Germany
Popa, D:
Linkoping Univ Hosp, Gen Surg, Linkoping, Sweden
Tait, D:
Royal Marsden NHS Fdn Trust, London, England
Thomas, C:
Yeovil Dist Hosp NHS Fdn Trust, Dept Radiol, Higher Kingston, Yeovil, England
Nimmo, S:
Western Gen Hosp, Dept Anaesthesia Crit Care & Pain Med, Edinburgh, Midlothian, Scotland
Paraskevis, D:
Natl & Kapodistrian Univ Athens, Med Sch, Dept Hyg Epidemiol & Med Stat, Athens, Greece
Pietrabissa, A:
Fdn IRCCS Policlin San Matteo, Dept Surg, Pavia, Italy
Balagué Ponz C.:
Institut d’Investigació Biomèdica Sant Pau (IIB SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain
Valdastri, Pietro:
University of Leeds, Leeds, United Kingdom
Green Published, hybrid
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