GuidelineSurgical endoscopy2020
SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic.
Guideline in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 11 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
118 citing papers in PubMed, 11 syntheses or guidelines pooled it, 218 citations in OpenAlex.
- The impact of COVID-19 on inflammatory bowel disease surgery: a systematic review.Annals of the Royal College of Surgeons of England · 2026Pooled it
- Use of mixed gas pneumoperitoneum during minimally invasive surgery: a systematic review of human and mouse modelled laparoscopic interventions.Journal of robotic surgery · 2024Pooled it
- Presence of SARS-CoV-2 in abdominal tissues and biologic fluids during abdominal surgery: a systematic review.Surgical endoscopy · 2023Pooled it
- Effect of COVID-19 on gastrointestinal endoscopy practice: a systematic review.Annals of medicine · 2022Pooled it
- Early versus delayed defunctioning ileostomy closure after low anterior resection for rectal cancer: a meta-analysis and trial sequential analysis of safety and functional outcomes.International journal of colorectal disease · 2022Pooled it
- Assessment of health equity consideration in masking/PPE policies to contain COVID-19 using PROGRESS-plus framework: a systematic review.BMC public health · 2021Pooled it
- Consistency of global recommendations regarding open versus laparoscopic surgery during the COVID-19 pandemic: a systematic review.ANZ journal of surgery · 2021Pooled it
- Laparoscopic Surgery and the debate on its safety during COVID-19 pandemic: A systematic review of recommendations.The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland · 2021Pooled it
- EAES Recommendations for Recovery Plan in Minimally Invasive Surgery Amid COVID-19 Pandemic.Surgical endoscopy · 2021Guideline
- Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing.The British journal of surgery · 2020Pooled it
- Clear Vision, Clear Savings: Enhancing Efficiency in Minimally Invasive Surgery.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Viral load of SARS-CoV-2 in surgical smoke in minimally invasive and open surgery: a single-center prospective clinical trial.Scientific reports · 2023Trial
- Evaluating the efficacy of smoke management technologies in laparoscopic sleeve gastrectomy: insights from a prospective, single-centre comparative study.Scientific reports · 2026Article
- COVID-19-specific risk factor for early post-appendectomy complications (EPAC) in older patients: a retrospective study.Techniques in coloproctology · 2025Observational
- Review
- Article
- Impact of the COVID-19 Pandemic on the Management of Groin Hernia Repairs: A Nationwide Population-Based Study From the Swedish Hernia Register.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Biliary stent insertion after stone clearance in patients awaiting cholecystectomy: Systematic review and meta-analysis.Endoscopy international open · 2025Review
- Characterisation and mitigation of gas leaks at laparoscopy: an international prospective, multi-center cohort clinical trial.Surgical endoscopy · 2024Article
- Impact of COVID-19 Pandemic on the Clinical and Pathologic Characteristics of Colorectal Cancer: A Retrospective Multicenter Study in South Korea.Cancer management and research · 2024Article
58 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors at 15 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The unprecedented pandemic of COVID-19 has impacted many lives and affects the whole healthcare systems globally. In addition to the considerable workload challenges, surgeons are faced with a number of uncertainties regarding their own safety, practice, and overall patient care. This guide has been drafted at short notice to advise on specific issues related to surgical service provision and the safety of minimally invasive surgery during the COVID-19 pandemic. Although laparoscopy can theoretically lead to aerosolization of blood borne viruses, there is no evidence available to confirm this is the case with COVID-19. The ultimate decision on the approach should be made after considering the proven benefits of laparoscopic techniques versus the potential theoretical risks of aerosolization. Nevertheless, erring on the side of safety would warrant treating the coronavirus as exhibiting similar aerosolization properties and all members of the OR staff should use personal protective equipment (PPE) in all surgical procedures during the pandemic regardless of known or suspected COVID status. Pneumoperitoneum should be safely evacuated via a filtration system before closure, trocar removal, specimen extraction, or conversion to open. All emergent endoscopic procedures performed during the pandemic should be considered as high risk and PPE must be used by all endoscopy staff.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.