4.5 Article

Robotic surgery can be safely performed for patients and healthcare workers during COVID-19 pandemic

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WILEY
DOI: 10.1002/rcs.2291

Keywords

coronavirus; infection; robotics; safety; SARS-CoV-2; 2019-nCoV

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The safety of robotic surgery during the COVID-19 pandemic was investigated, with one patient acquiring COVID-19 infection while healthcare workers remained unaffected. Elective surgery is recommended only for verified COVID-19 negative patients based on the findings.
Objectives: To investigate the safety of robotic surgery during COVID-19 pandemic concerning new-acquired COVID-19 infections for patients and healthcare workers. Patients: We performed a retrospective single-centre cohort study of patients undergoing robotic surgery in initial period of COVID-19 pandemic. Patients and healthcare workers COVID-19 infection status was assessed by structured telephone follow-up and/or repeated nasopharyngeal swabs. Results: After 61 robotic surgeries (93,5% cancer surgery), one patient (1.6%) had COVID-19 infection. Sixty healthcare workers cumulatively exposed to 1187 h of robotic surgery had no infection. One patient with postoperative proof of SARS-CoV-2 had complete recovery. After this potentially contagious robotic surgery, eight healthcare workers had no COVID-19 infection after follow-up with each three nasopharyngeal swabs. Conclusions: Early clinical experience of robotic surgery during COVID-19 pandemic shows that robotic surgery can be safely performed for patients and healthcare workers. Despite our results we recommend elective surgery only for verified COVID-19 negative patients.

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