SynthesisThe surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland2021
Laparoscopic Surgery and the debate on its safety during COVID-19 pandemic: A systematic review of recommendations.
Synthesis in The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
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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.
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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.
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Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Robotic Appendicectomy: A review of feasibility.Sultan Qaboos University medical journal · 2023Pooled it
- Laparoscopic surgery during the COVID-19 pandemic: detection of SARS-COV-2 in abdominal tissues, fluids, and surgical smoke.Langenbeck's archives of surgery · 2021Pooled it
- Assessing the resilience of a key health service: The response of acute surgical provision in England to the disruption of the COVID-19 pandemic.Journal of health services research & policy · 2026Article
- Comparison of surgical site infection in pediatric patients using NSQIP-P data during COVID-19 pandemic and non-pandemic periods.Pediatric surgery international · 2025Article
- The impact of the COVID-19 pandemic on emergency general surgery outcomes: a retrospective analysis of seven procedures.Updates in surgery · 2025Article
- Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study.Diagnostics (Basel, Switzerland) · 2025Article
- Changes in the Presentation and Severity of Acute Appendicitis: A Comparison of the COVID-19 Pandemic and Post-Pandemic Eras.Diseases (Basel, Switzerland) · 2024Article
- Influence of the COVID-19 Pandemic on Patients with Rectal Cancer.Journal of clinical medicine · 2024Article
- Review
- Comparison of Clinical, Pathological, and Procedural Characteristics of Adult and Pediatric Acute Appendicitis before and during the COVID-19 Pandemic.Children (Basel, Switzerland) · 2024Article
- Impact of the COVID-19 pandemic on the clinical management trends for acute appendicitis among the under-25s: a retrospective study.Archives of disease in childhood · 2024Article
- Outcomes in COVID-19 patients undergoing laparoscopic cholecystectomy/appendectomy in the pre-vaccine era.Surgery in practice and science · 2023Article
- Neuraxial anesthesia for abdominal surgery, beyond the pandemic: a feasibility pilot study of 70 patients in a suburban hospital.Updates in surgery · 2023Article
- Colorectal Surgery Outcomes in the United States During the COVID-19 Pandemic.The Journal of surgical research · 2023Article
- Groin Hernia Repair during the COVID-19 Pandemic-A Romanian Nationwide Analysis.Medicina (Kaunas, Lithuania) · 2023Article
- Concurrent SARS-COV-19 and acute appendicitis: Management and outcomes across United States children's hospitals.Surgery · 2023Article
- Variations in clinical course and surgical outcomes of acute appendicitis during COVID-19 Pandemic: a multicenter cohort study.BMC surgery · 2023Article
- Impact of COVID-19 on the Mode of Presentation and Stage at Diagnosis of Colorectal Cancer.Cureus · 2022Article
- Safety of Three-Dimensional versus Two-Dimensional Laparoscopic Hysterectomy during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- Framework, component, and implementation of enhanced recovery pathways.Journal of anesthesia · 2022Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe transmission of COVID-19 virus since the outbreak of viral pneumonia due to SARS-CoV-2 gave rise to protective operative measures. Aerosol generating procedures such as laparoscopic surgery are known to be associated with increased risks of viral transmission to the healthcare workers. The safety of laparoscopy during the pandemic was then debated. We aimed to systematically review the literature regarding the safe use of laparoscopy during COVID-19.
methodsWe performed a systematic search using PubMed and ScienceDirect databases from inception to 1st May, 2020. The following search terms were used: ''laparoscopic surgery and COVID-19''; ''minimally invasive surgery and COVID-19''. Search items were considered from the nature of the articles, date of publication, aims and findings in relation to use of laparoscopic surgery during COVID-19. The study protocol was registered with PROSPERO register for systematic reviews (CRD42020183432).
resultsAltogether, 174 relevant citations were identified and reviewed for this study, of which 22 articles were included. The analysis of the findings in relation to laparoscopic surgery during the pandemic were presented in tabular form. We completed the common recommendations for performing laparoscopy during the COVID-19 pandemic in forms of pre-, intra- and postoperative phases.
conclusionThere is no scientific evidence to date for the transmission of COVID-19 by laparoscopic surgery. Laparoscopy can be used with precautions because of its benefits compared to open surgery. If safe, conservative management is the primary alternative during the pandemic. We concluded that recommended precautions should be respected while performing laparoscopy during the pandemic.
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