Department of Surgery.
Albert Einstein College of Medicine, Montefiore Medical Center.
Surg Laparosc Endosc Percutan Tech. 2021 Jun 29;31(6):674-678. doi: 10.1097/SLE.0000000000000971.
The safety of surgery in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-positive patients remains unclear. On the basis of data from other viral diseases, it has been assumed that coronavirus disease 2019 (COVID-19) has the potential risk of transmission during surgery. The presence of the virus within the peritoneal fluid and the peritoneal tissues is not known.
This is a prospective cross-sectional study including adult patients with confirmed COVID-19 who underwent surgery at a single institution. Using specific real-time reverse transcriptase-polymerase chain reaction, the presence of SARS-CoV-2 was determined in abdominal fluid samples.
Six patients with COVID-19 underwent abdominal surgery. Five patients were asymptomatic, and 1 had severe disease. SARS-CoV-2 was tested in 20 different samples, all of which resulted negative.
SARS-CoV-2 was not found in the peritoneal cavity of 6 patients undergoing abdominal surgery. The risk of transmissibility of COVID-19 during surgery is still unclear.
新冠病毒（SARS-CoV-2）阳性患者的手术安全性仍不清楚。基于其他病毒疾病的数据，人们认为 2019 年冠状病毒病（COVID-19）在手术过程中有传播的潜在风险。病毒在腹腔液和腹膜组织中的存在情况尚不清楚。
这是一项包括在一家机构接受手术的确诊 COVID-19 成年患者的前瞻性横断面研究。使用特定的实时逆转录聚合酶链反应，检测 SARS-CoV-2 在腹部液样本中的存在情况。
6 例 COVID-19 患者接受了腹部手术。5 例患者无症状，1 例患者患有重症疾病。对 20 个不同的样本进行了 SARS-CoV-2 检测，结果均为阴性。
在接受腹部手术的 6 名患者的腹腔中未发现 SARS-CoV-2。COVID-19 在手术过程中传播的风险仍不清楚。
