Ngaserin Sabrina Hui-Na, Koh Frederick H, Ong Biauw-Chi, Chew Min-Hoe
Department of Surgery, Sengkang General Hospital, 110 Sengkang East Way, Singapore, 544886, Singapore.
Department of Anaesthesiology, Sengkang General Hospital, Singapore, Singapore.
Langenbecks Arch Surg. 2020 May;405(3):353-355. doi: 10.1007/s00423-020-01891-2. Epub 2020 May 9.
COVID-19 greatly affected millions and affected the way we practice with heightened posture in the way we treat surgical patients. Surgical consensus guidelines are recommending caution in the use of laparoscopy for the theoretical possibility of viral transmission from aerosolization of tissue and peritoneal fluid during surgery. However, there has yet to be proof of COVID-19 being present in peritoneal fluid, justifying the consensus statements. We aim to assess the presence of COVID-19 in peritoneal fluid.
We performed a laparoscopic appendicectomy for a COVID-19-infected patient with acute appendicitis. Peritoneal fluid and peritoneal washings were collected and sent for COVID-19 PCR.
The peritoneal fluid sample collected on entry and at the end of the operation was negative for COVID-19 on PCR. The patient had an uneventful recovery from surgery.
This case revealed that COVID-19 was not detected in peritoneal fluid and peritoneal washings in a patient infected with COVID-19. This study provides novel preliminary data in the investigation of COVID-19 transmission from laparoscopy-related aerosolization.
新冠病毒病（COVID-19）对数以百万计的人产生了巨大影响，并改变了我们治疗外科患者时所采取的高度谨慎的方式。外科共识指南建议谨慎使用腹腔镜手术，因为手术过程中组织和气腹液雾化可能导致病毒传播。然而，目前尚无证据表明腹膜液中存在COVID-19，这为共识声明提供了依据。我们旨在评估腹膜液中是否存在COVID-19。
我们为一名患有急性阑尾炎的COVID-19感染患者实施了腹腔镜阑尾切除术。收集腹膜液和腹腔冲洗液并送检COVID-19聚合酶链反应（PCR）检测。
手术开始时和结束时采集的腹膜液样本经PCR检测，COVID-19呈阴性。患者术后恢复顺利。
该病例显示，在一名COVID-19感染患者的腹膜液和腹腔冲洗液中未检测到COVID-19。本研究为腹腔镜相关雾化传播COVID-19的调查提供了新的初步数据。
