Romero-Velez Gustavo, Pereira Xavier, Zenilman Ariela, Camacho Diego
Department of Surgery, Montefiore Medical Center, Bronx, NY.
Surg Laparosc Endosc Percutan Tech. 2020 Dec;30(6):e43-e45. doi: 10.1097/SLE.0000000000000837.
The safety of laparoscopic surgery in SARS-CoV-2 positive patients remains unclear. The presence of the virus within peritoneal fluid and the peritoneal tissues is not known. We report an asymptomatic COVID-19 positive patient who underwent laparoscopic appendectomy with negative peritoneal sampling for SARS-CoV-2.
During a standard 3 port laparoscopic surgery samples peritoneal fluid, peritoneal brushings, and surgical smoke plum were collected. Specific real-time reverse transcriptase-polymerase chain reaction targeting SARS-CoV-2 were used to detect the presence of the virus in the samples.
SARS-CoV-2 was not detected on multiple samples of the peritoneum in an asymptomatic patient.
SARS-CoV-2 was not found in the peritoneum of a single patient with asymptomatic infection. Further studies comparing SARS-CoV-2 surgical candidates are needed to address safety concerns.
新型冠状病毒肺炎（SARS-CoV-2）阳性患者行腹腔镜手术的安全性尚不清楚。目前尚不清楚腹膜液和腹膜组织中是否存在该病毒。我们报告了一名无症状的COVID-19阳性患者，该患者接受了腹腔镜阑尾切除术，术中对腹膜进行采样检测SARS-CoV-2，结果为阴性。
在标准的三孔腹腔镜手术中，收集腹膜液、腹膜刷检物和手术烟雾样本。采用针对SARS-CoV-2的特异性实时逆转录聚合酶链反应检测样本中病毒的存在情况。
一名无症状患者的多个腹膜样本中均未检测到SARS-CoV-2。
在一名无症状感染患者的腹膜中未发现SARS-CoV-2。需要进一步开展研究，比较SARS-CoV-2感染患者的手术情况，以解决安全问题。
