在新冠疫情期间开展手术：小切口胆囊切除术的一种新适应证

Milne David M, Jarvis Johnathan K, Franklin Rensi E, Thomas Dexter, Naraynsingh Vijay

Surgery, General Hospital Port of Spain, Port of Spain, TTO.

Surgery, Medical Associates Hospital, St. Joseph, TTO.

Cureus. 2020 Nov 16;12(11):e11500. doi: 10.7759/cureus.11500.

COVID-19 has required changes in the practice of surgery to reduce the risk of transmission of the virus. Proposed mitigation strategies include avoidance of aerosol-generating procedures such as laparoscopy. We report two cases where minilaparotomy cholecystectomy was employed to treat benign biliary disease during the pandemic. A review of the literature supports the use of this surgical technique during the COVID-19 pandemic until laparoscopy can be proven to be safe.

新冠疫情要求对外科手术操作做出改变，以降低病毒传播风险。提议的缓解策略包括避免进行如腹腔镜检查等产生气溶胶的操作。我们报告了两例在疫情期间采用小切口胆囊切除术治疗良性胆道疾病的病例。文献综述支持在新冠疫情期间使用这种手术技术，直到能证明腹腔镜检查是安全的。