Does the risk of SARS-COVID-19 at laparoscopy justify the precautions?

Delivering Safe Surgical Care While Simultaneously Caring for Patients With COVID-19; Assessment of Patient Selection, Volume and Outcomes in a Tertiary Care Hospital

Objectives: Compare patient selection and postoperative outcomes after surgical treatment for gastrointestinal disorders before and during the SARS-CoV-2 pandemic.

Methods: We assessed gastrointestinal surgeries conducted at a tertiary center from 2017–2021 for differences in patient populations and procedures before (up to February 2020) and during the pandemic (March 2020 to December 2021). We analyzed mortality, Intensive Care Unit (ICU) length of stay, admission to ICU and postoperative complications for complex procedures using descriptive statistics and regression models.

Results: 7309 procedures were analyzed, showing a caseload reduction in March and October 2020, but no statistical evidence for fewer overall procedures overall. Population characteristics differed with lower Body Mass Indices in 2020 and 2021, more patients smoking and with diabetes treated in 2020. There was no increased mortality, ICU length of stay and in 1,144 complex procedures assessed low overall morbidity at 90 days postoperative.

Conclusion: Delivering surgical care while treating patients for COVID-19 in the same hospital was safe. Healthcare officials should consider continuing surgical care during future health crises as consequences of limiting surgical treatment for gastrointestinal disorders may be fatal for patients.

Evaluating the Impact of COVID-19 Pandemic on Public Interest in Minimally Invasive Surgery: An Infodemiology Study Using Google Trends

Background

The pandemic caused by the coronavirus disease 2019 (COVID-19) has impacted the healthcare system worldwide, leading to the suspension of elective surgeries and a decline in the utilization of minimally invasive surgeries (MIS). However, an objective parameter depicting the degree of decline of MIS is lacking. We aim to indirectly evaluate the impact of the COVID-19 pandemic on the number of MIS performed by the surgeons by evaluating the public interest in MIS using Google Trends.

Methods

A Google Trends search using the string [“laparoscopic” + “minimally invasive” + “robotic surgery”] was performed on June 2, 2021. The monthly relative search volume (RSV) indices were compared with the number of reported COVID-19 cases during the same period.

Results

RSV was highest between August 2018 and February 2020. RSV at the start of the pandemic was 95 but had declined to 51 during the first COVID-19 peak in April 2020 and 80 during the second peak in May 2021.

Conclusion

The monthly RSV related to MIS on Google Trends is a good tool to indirectly estimate the degree of decline in the number of MIS (both laparoscopic and robotic) performed worldwide during the pandemic.

Strategies for care of patients with gastrointestinal stromal tumor or soft tissue sarcoma during COVID-19 pandemic: A guide for surgical oncologists

The coronavirus disease-2019 (COVID-19) pandemic is deeply impacting the accessibility of cancer patients to surgery. In resource-limited conditions, the standard of care might not be deliverable, but evidence to support alternative management strategies often exists. By revisiting available treatment options, this review provides surgical oncologists with an evidence-based framework for treating patients with gastrointestinal stromal tumor, extremity/truncal soft tissue sarcoma, and retroperitoneal sarcoma to rapidly adapt their decision-making to the constant evolution of the COVID-19 pandemic.