Evidence map›Paper›PMID 32675513›Full record

ReviewAnnals of surgery2020

Current Evidence for Minimally Invasive Surgery During the COVID-19 Pandemic and Risk Mitigation Strategies: A Narrative Review.

Sami A Chadi, Keegan Guidolin, Antonio Caycedo-Marulanda, Abdu Sharkawy, Antonino Spinelli, Fayez A Quereshy, Allan Okrainec

Abstract readReview
In one paragraph

Review in Annals of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Article
  2. Micro- and Nano-Bots for Infection Control.Advanced materials (Deerfield Beach, Fla.) · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Quality of Life of People with Cancer in the Era of the COVID-19 Pandemic in India: A Systematic Review.Clinical practice and epidemiology in mental health : CP & EMH · 2021
    Review
  18. Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sami A ChadiDepartment of Surgery, Faculty of Medicine, University of Toronto and University Health Network, Toronto, Canada.
Keegan GuidolinDepartment of Surgery, Faculty of Medicine, University of Toronto and University Health Network, Toronto, Canada.
Antonio Caycedo-MarulandaDepartment of Surgery, Queens University and Kingston General Hospital, Kingston, Canada.
Abdu SharkawyDepartment of Medicine, Faculty of Medicine, University of Toronto and University Health Network, Toronto, Canada.
Antonino SpinelliDivision of Colon and Rectal Surgery, Humanitas Clinical and Research Center, IRCCS, Rozzano, Milano, Italy.
Fayez A QuereshyDepartment of Surgery, Faculty of Medicine, University of Toronto and University Health Network, Toronto, Canada.
Allan OkrainecDepartment of Surgery, Faculty of Medicine, University of Toronto and University Health Network, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur objective was to review the literature surrounding the risks of viral transmission during laparoscopic surgery and propose mitigation measures to address these risks. SUMMARY BACKGROUND DATA: The SARS-CoV-2 pandemic has caused surgeons the world over to re-evaluate their approach to surgical procedures given concerns over the risk of aerosolization of viral particles and exposure of operating room staff to infection. International society guidelines advise against the use of laparoscopy; however, the evidence on this topic is scant and recommendations are based on the perceived most cautious course of action.

methodsWe conducted a narrative review of the existing literature surrounding the risks of viral transmission during laparoscopic surgery and balance these risks against the benefits of minimally invasive approaches. We also propose mitigation measures to address these risks that we have adopted in our institution. RESULTS AND

conclusionWhile it is currently assumed that open surgery minimizes operating room staff exposure to the virus, our findings reveal that this may not be the case. A well-informed, evidence-based opinion is critical when making decisions regarding which operative approach to pursue, for the safety and well-being of the patient, the operating room staff, and the healthcare system at large. Minimally invasive surgical approaches offer significant advantages with respect to both patient care, and the mitigation of the risk of viral transmission during surgery, provided the appropriate equipment and expertise are present.

Indexed as

Infectious Disease Transmission, Patient-to-ProfessionalLaparoscopyMinimally Invasive Surgical ProceduresOperating RoomsBetacoronavirusCoronavirus InfectionsCOVID-19Decision MakingHumansInfection ControlPandemicsPatient SelectionPersonal Protective EquipmentPneumonia, ViralSARS-CoV-2

Identifiers

PMID32675513
PMCPMC7268822

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.