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Erschienen in:

20.07.2020 | COVID-19 | Brief Communication Zur Zeit gratis

Robotic surgery during the COVID pandemic: why now and why for the future

verfasst von: Gaby N. Moawad, Sara Rahman, Martin A. Martino, Jordan S. Klebanoff

Erschienen in: Journal of Robotic Surgery | Ausgabe 6/2020

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Abstract

Health care has changed in unprecedented ways since the first reported cases of COVID-19. With global case rates continuing to rise and government restrictions beginning to loosen, many worry that a second wave in our future. In many hospitals around the world, non-emergent surgeries were put on hold as hospitals were transformed into COVID centers. As surgeons and administrators do their best to reinstate non-emergent procedures, guidance is sought from any and all reliable sources. Robotic surgery has many known and demonstrated benefits over open surgery and often over conventional laparoscopy. In this commentary, we aim to highlight some of the advantages robotic surgery may offer during this uniquely challenging time in health care.
Literatur
6.
Zurück zum Zitat Moawad G, Park D, Maasen M, Frost A, Tyan P (2020) Predictors of overnight admission after laparoscopic myomectomy in a high-volume minimally invasive gynecologic surgery setting. J Minim Invasive Gynecol 27(1):195–199CrossRef Moawad G, Park D, Maasen M, Frost A, Tyan P (2020) Predictors of overnight admission after laparoscopic myomectomy in a high-volume minimally invasive gynecologic surgery setting. J Minim Invasive Gynecol 27(1):195–199CrossRef
7.
Zurück zum Zitat Moawad G, Tyan P, Vargas V et al (2019) Predictors of overnight admission after minimally invasive hysterectomy in the expert setting. J Minim Invasive Gynecol 26(1):122–128CrossRef Moawad G, Tyan P, Vargas V et al (2019) Predictors of overnight admission after minimally invasive hysterectomy in the expert setting. J Minim Invasive Gynecol 26(1):122–128CrossRef
9.
Zurück zum Zitat Jonsdottir GM, Jorgensen S, Cohen SL et al (2011) Increasing minimally invasive hysterectomy: effect on cost and complications. Obstet Gynecol 117(5):1142–1149CrossRef Jonsdottir GM, Jorgensen S, Cohen SL et al (2011) Increasing minimally invasive hysterectomy: effect on cost and complications. Obstet Gynecol 117(5):1142–1149CrossRef
10.
Zurück zum Zitat Luciano AA, Luciano DE, Gabbert J, Seshadri-Kreaden U (2016) The impact of robotics on the mode of benign hysterectomy and clinical outcomes. Int J Med Robot Assist Surg 12:114–124CrossRef Luciano AA, Luciano DE, Gabbert J, Seshadri-Kreaden U (2016) The impact of robotics on the mode of benign hysterectomy and clinical outcomes. Int J Med Robot Assist Surg 12:114–124CrossRef
11.
Zurück zum Zitat Bell MC, Torgerson J, Seshadri-Kreaden U, Wierda Suttle A, Hunt S (2008) Comparison of outcomes and cost for endometrial cancer staging via traditional laparotomy, standard laparoscopy, and robotic techniques. Gynecol Oncol 111(3):407–411CrossRef Bell MC, Torgerson J, Seshadri-Kreaden U, Wierda Suttle A, Hunt S (2008) Comparison of outcomes and cost for endometrial cancer staging via traditional laparotomy, standard laparoscopy, and robotic techniques. Gynecol Oncol 111(3):407–411CrossRef
12.
Zurück zum Zitat Khan NA, Quan H, Bugar JM, Lemaire JB, Brant R, Ghali WA (2006) Association of postoperative complications with hospital costs and length of stay in a tertiary care center. J Gen Intern Med 21(2):177–180CrossRef Khan NA, Quan H, Bugar JM, Lemaire JB, Brant R, Ghali WA (2006) Association of postoperative complications with hospital costs and length of stay in a tertiary care center. J Gen Intern Med 21(2):177–180CrossRef
15.
Zurück zum Zitat Orady M, Aslanova R, Fidela PM (2014) Minimally invasive hysterectomy for benign indications. Minerva Ginecol 66(1):13–21PubMed Orady M, Aslanova R, Fidela PM (2014) Minimally invasive hysterectomy for benign indications. Minerva Ginecol 66(1):13–21PubMed
17.
Zurück zum Zitat Moawad GN, Abi Khalil ED, Tyan P et al (2017) Comparison of cost and operative outcomes of robotic hysterectomy compared to laparoscopic hysterectomy across different uterine weights. J Robot Surg 11(4):433–439CrossRef Moawad GN, Abi Khalil ED, Tyan P et al (2017) Comparison of cost and operative outcomes of robotic hysterectomy compared to laparoscopic hysterectomy across different uterine weights. J Robot Surg 11(4):433–439CrossRef
18.
Zurück zum Zitat Dimick JB, Chen SL, Taheri PA, Henderson WG, Khuri SF, Campbell DA (2004) Hospital costs associated with surgical complications: a report from the private sector National Surgical Quality Improvement Program. J Am Coll Surg 199(4):531–537CrossRef Dimick JB, Chen SL, Taheri PA, Henderson WG, Khuri SF, Campbell DA (2004) Hospital costs associated with surgical complications: a report from the private sector National Surgical Quality Improvement Program. J Am Coll Surg 199(4):531–537CrossRef
19.
Zurück zum Zitat Wu CZ, Klebanoff JS, Tyan P, Moawad GN (2019) Review of strategies and factors to maximize cost-effectiveness of robotic hysterectomies and myomectomies in benign gynecological disease. J Robot Surg 13(5):635–642CrossRef Wu CZ, Klebanoff JS, Tyan P, Moawad GN (2019) Review of strategies and factors to maximize cost-effectiveness of robotic hysterectomies and myomectomies in benign gynecological disease. J Robot Surg 13(5):635–642CrossRef
20.
Zurück zum Zitat Kwak HD, Kim SH, Seo YS, Song KJ (2016) Detecting hepatitis B virus in surgical smoke emitted during laparoscopic surgery. Occup Environ Med 73(12):857–863PubMed Kwak HD, Kim SH, Seo YS, Song KJ (2016) Detecting hepatitis B virus in surgical smoke emitted during laparoscopic surgery. Occup Environ Med 73(12):857–863PubMed
21.
Zurück zum Zitat Weyandt GH, Tollmann F, Kristen P, Weissbrich B (2011) Low risk of contamination with human papilloma virus during treatment of condylomata acuminata with multilayer argon plasma coagulation and CO2 laser ablation. Arch Dermatol Res 303(2):141–144CrossRef Weyandt GH, Tollmann F, Kristen P, Weissbrich B (2011) Low risk of contamination with human papilloma virus during treatment of condylomata acuminata with multilayer argon plasma coagulation and CO2 laser ablation. Arch Dermatol Res 303(2):141–144CrossRef
22.
Zurück zum Zitat Ferenczy A, Bergeron C, Richart RM (1990) Human papillomavirus DNA in CO2 laser-generated plume of smoke and its consequences to the surgeon. Obstet Gynecol 75(1):114–118PubMed Ferenczy A, Bergeron C, Richart RM (1990) Human papillomavirus DNA in CO2 laser-generated plume of smoke and its consequences to the surgeon. Obstet Gynecol 75(1):114–118PubMed
23.
Zurück zum Zitat Manson LT, Damrose EJ (2013) Does exposure to laser plume place the surgeon at high risk for acquiring clinical human papillomavirus infection? Laryngoscope 123:1319–1320CrossRef Manson LT, Damrose EJ (2013) Does exposure to laser plume place the surgeon at high risk for acquiring clinical human papillomavirus infection? Laryngoscope 123:1319–1320CrossRef
24.
Zurück zum Zitat Kunachak S, Sithisarn P, Kulapaditharom B (1996) Are laryngeal papilloma virus-infected cells viable in the plume derived from a continuous mode carbon dioxide laser, and are they infectious? A preliminary report on one laser mode. J Laryngol Otol 110(11):1031–1033CrossRef Kunachak S, Sithisarn P, Kulapaditharom B (1996) Are laryngeal papilloma virus-infected cells viable in the plume derived from a continuous mode carbon dioxide laser, and are they infectious? A preliminary report on one laser mode. J Laryngol Otol 110(11):1031–1033CrossRef
Metadaten
Titel
Robotic surgery during the COVID pandemic: why now and why for the future
verfasst von
Gaby N. Moawad
Sara Rahman
Martin A. Martino
Jordan S. Klebanoff
Publikationsdatum
20.07.2020
Verlag
Springer London
Schlagwort
COVID-19
Erschienen in
Journal of Robotic Surgery / Ausgabe 6/2020
Print ISSN: 1863-2483
Elektronische ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-020-01120-4

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