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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

Operating During the COVID-19 Pandemic: An Emerging Indication for Minilaparotomy Cholecystectomy.

作者信息

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

机构信息

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

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

出版信息

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

DOI:10.7759/cureus.11500
PMID:33354446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7744216/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/7744216/f8a69e619639/cureus-0012-00000011500-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/7744216/206b7fadb655/cureus-0012-00000011500-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/7744216/6c11ab2a2228/cureus-0012-00000011500-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/7744216/f8a69e619639/cureus-0012-00000011500-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/7744216/206b7fadb655/cureus-0012-00000011500-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/7744216/6c11ab2a2228/cureus-0012-00000011500-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4b6/7744216/f8a69e619639/cureus-0012-00000011500-i03.jpg

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本文引用的文献

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Prevalence of SARS-CoV-2 infection in previously undiagnosed health care workers in New Jersey, at the onset of the U.S. COVID-19 pandemic.美国 COVID-19 大流行期间新泽西州此前未确诊的医护人员中 SARS-CoV-2 感染的流行率。
BMC Infect Dis. 2020 Nov 16;20(1):853. doi: 10.1186/s12879-020-05587-2.
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Covid-19: Two thirds of healthcare workers who have died were from ethnic minorities.新冠疫情：已去世的医护人员中有三分之二来自少数族裔。
BMJ. 2020 Apr 23;369:m1621. doi: 10.1136/bmj.m1621.
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SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic.
SAGES 和 EAES 关于 COVID-19 大流行期间微创外科手术的建议。
Surg Endosc. 2020 Jun;34(6):2327-2331. doi: 10.1007/s00464-020-07565-w. Epub 2020 Apr 22.
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Death from Covid-19 of 23 Health Care Workers in China.中国23名医护人员死于新冠病毒。
N Engl J Med. 2020 Jun 4;382(23):2267-2268. doi: 10.1056/NEJMc2005696. Epub 2020 Apr 15.
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Surgery in COVID-19 patients: operational directives.COVID-19 患者的外科手术：操作指令。
World J Emerg Surg. 2020 Apr 7;15(1):25. doi: 10.1186/s13017-020-00307-2.
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Perspectives on Surgery in the Time of COVID-19: Safety First.COVID-19 时代的外科手术展望：安全第一。
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Characterization of smoke generated during the use of surgical knife in laparotomy surgeries.分析剖腹手术中使用手术刀产生的烟雾。
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Costs and quality of life of small-incision open cholecystectomy and laparoscopic cholecystectomy - an expertise-based randomised controlled trial.小切口开腹胆囊切除术与腹腔镜胆囊切除术的成本及生活质量——一项基于专业知识的随机对照试验
BMC Gastroenterol. 2017 Apr 8;17(1):48. doi: 10.1186/s12876-017-0601-1.
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Detecting hepatitis B virus in surgical smoke emitted during laparoscopic surgery.在腹腔镜手术过程中排放的手术烟雾中检测乙型肝炎病毒。
Occup Environ Med. 2016 Dec;73(12):857-863. doi: 10.1136/oemed-2016-103724. Epub 2016 Aug 2.
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Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus.急性胰腺炎的分类-2012：亚特兰大分类修订和国际共识定义。
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