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10.1016/j.urolonc.2020.09.008

http://scihub22266oqcxt.onion/10.1016/j.urolonc.2020.09.008
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33032921!7505595!33032921
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suck abstract from ncbi


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pmid33032921      Urol+Oncol 2021 ; 39 (5): 298.e7-298.e11
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  • Postoperative assessment of nosocomial transmission of COVID-19 after robotic surgical procedures during the pandemic #MMPMID33032921
  • Tabourin T; Sarfati J; Pinar U; Beaud N; Parra J; Vaessen C; Gomez F; Benamran D; Canlorbe G; Belghiti J; Chartier-Kastler E; Cussenot O; Seisen T; Roupret M
  • Urol Oncol 2021[May]; 39 (5): 298.e7-298.e11 PMID33032921show ga
  • OBJECTIVES: To assess potential nosocomial coronavirus disease-2019 (COVID-19) transmission in patients who underwent robot-assisted laparoscopic procedures during the pandemic. MATERIAL AND METHODS: Prospective study in patients undergoing robot-assisted laparoscopy in urology or gynaecology within 2 academic hospitals. Patients underwent local preoperative COVID-19 screening using a symptoms questionnaire. Patients with suspicious screening underwent coronavirus real time-polymerase chain reaction (RT-PCR) and were excluded from robotic surgery if positive. Patients with symptoms postsurgery were systematically tested for coronavirus by RT-PCR. One-month postsurgery, all patients had a telephone consultation to evaluate COVID-19 symptoms. RESULTS: Sixty-eight patients underwent robotic surgery during the study period (median age: 63-years [IQR: 53-70], 1.8 male: female ratio). Oncology was the main indication for robotic surgery (n?=?62, 91.2%) and 26 patients (38.2%) received a chest CT-scan prior to surgery. Eleven patients (16.2%) were symptomatic after surgery of whom only 1 tested positive for coronavirus by RT-PCR (1.5%) and was transferred to COVID-19 unit with no life-threatening condition. No attending surgeon was diagnosed with COVID-19 during the study. CONCLUSIONS: Robot-assisted laparoscopic surgery seemed safe in the era of COVID-19 as long as all recommended precautions are followed. The rate of nosocomial COVID-19 transmission was extremely low despite the fact that we only used RT-PCR testing in symptomatic patients during the preoperative work-up. Larger cohort is needed to validate these results.
  • |Academic Medical Centers[MESH]
  • |Aged[MESH]
  • |COVID-19/epidemiology/*transmission/virology[MESH]
  • |Cross Infection/*diagnosis[MESH]
  • |Female[MESH]
  • |Gynecologic Surgical Procedures/methods/statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Laparoscopy/methods[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics/prevention & control[MESH]
  • |Postoperative Period[MESH]
  • |Prospective Studies[MESH]
  • |Robotic Surgical Procedures/*methods/statistics & numerical data[MESH]
  • |SARS-CoV-2/*isolation & purification/physiology[MESH]
  • |Surveys and Questionnaires/*statistics & numerical data[MESH]


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