World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 1 ( January-April, 2022 ) > List of Articles

RESEARCH ARTICLE

Urgent Elective Laparoscopic Cholecystectomy during the COVID-19 Pandemic

Rebecca M Jones, Andrew P MacCormick, Arun Ariyarathenam, M Lee Humphreys, Grant Sanders, Tim J Wheatley, David SY Chan

Keywords : Cholecystectomy, Coronavirus, COVID-19, Surgery

Citation Information : Jones RM, MacCormick AP, Ariyarathenam A, Humphreys ML, Sanders G, Wheatley TJ, Chan DS. Urgent Elective Laparoscopic Cholecystectomy during the COVID-19 Pandemic. World J Lap Surg 2022; 15 (1):87-89.

DOI: 10.5005/jp-journals-10033-1490

License: CC BY-NC 4.0

Published Online: 09-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: In April 2020 routine elective surgery in England was suspended in response to coronavirus disease-2019 (COVID-19). Low COVID-19 infection and mortality rates in the South West of England allowed urgent elective surgery in Plymouth to continue with the necessary precautions. The aim of this study was to assess outcomes following elective laparoscopic cholecystectomy during the initial phase of the COVID-19 pandemic. Materials and methods: Records of 54 consecutive patients undergoing urgent elective laparoscopic cholecystectomy between March 25, 2020, and June 25, 2020, were analyzed retrospectively. Patients were telephoned after 30 days. All patients underwent COVID-19 swab testing 24 to 72 hours prior to surgery and during admission if clinically indicated. The primary outcome measure was COVID-19 related morbidity. Secondary outcome measures were non-COVID-19 related morbidity, mortality, and length of hospital stay. Results: Fifty-four patients [19 male, 35 female; median age 59 years (20–79); median body mass index (BMI) 31 kg/m2 (22.9–46.8); median ASA 2]underwent laparoscopic cholecystectomy during the study period. Fifty-one patients (94%) were of White-British ethnicity. One patient tested positive for COVID-19 preoperatively. There were no COVID-19 diagnoses postoperatively and no COVID-19 related morbidity. There were no deaths at 30 days. Forty-four patients (81%) had a day-case procedure. Forty-two (78%) procedures were performed by a supervised trainee. Conclusion: Elective laparoscopic cholecystectomy can be performed safely and training maintained in areas of low COVID-19 prevalence with the necessary precautions. Clinical significance: This small study provides some evidence to aid decision-making around the provision of elective surgical services during this ongoing pandemic.


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  1. Collaborative CO. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet 2020;396(10243):27–38. DOI: 10.1016/S0140-6736(20)31182-X.
  2. Stahel PF. How to risk-stratify elective surgery during the COVID-19 pandemic? Patient Saf Surg 2020;14:8. DOI: 10.1186/s13037-020-00235-9.
  3. Collaborative CO. Global guidance for surgical care during the COVID-19 pandemic. Br J Surg 2020;107(9):1097. DOI: 10.1002/bjs.11646.
  4. Bhogal RH, Patel PH, Doran SLF, et al. Approach to upper GastroIntestinal cancer surgery during the COVID-19 pandemic–experience from a UK cancer centre. Eur J Surg Oncol 2020;46(11):2156–2157. DOI: 10.1016/j.ejso.2020.05.022.
  5. Chew MH, Chau KC, Koh FH, et al. Safe operating room protocols during the COVID-19 pandemic. Br J Surg 2020;107(9):e292–e293. DOI: 10.1002/bjs.11721.
  6. Mowbray NG, Ansell J, Horwood J, et al. Safe management of surgical smoke in the age of COVID-19. Br J Surg 2020;107(11):1406–1413. DOI: 10.1002/bjs.11679.
  7. Francis N, Dort J, Cho E, et al. SAGES and EAES recommendations for minimally invasive surgery during COVID-19 pandemic. Surg Endosc 2020;34(6):2327–2331. DOI: 10.1007/s00464-020-07565-w.
  8. England RCoSo. Elective surgery during COVID-19. 2020.
  9. England RCoSo. Recovery of surgical services during and after COVID-19. 2020. Available from: https://www.rcseng.ac.uk/coronavirus/recovery-of-surgical-services/#s1.
  10. Joint statement: roadmap for resuming elective surgery after COVID-19 pandemic [press release]. April 2020.
  11. Collaborative CO. Elective surgery cancellations due to the COVID-19 pandemic: global predictive modelling to inform surgical recovery plans. Br J Surg 2020;107(11):1440–1449. DOI: 10.1002/bjs.11746.
  12. NICE. Costing statement: gallstone disease. Implementing the NICE guideline on gallstone disease (CG188). 2014.
  13. BBC. Coronavirus UK map: how many confirmed cases are there in your area? 2020. Available from: https://www.bbc.co.uk/news/uk-51768274.
  14. Statistics OoN. Deaths involving COVID-19. 2020. Available from: https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/deathsinvolvingcovid19bylocalareasanddeprivation/deathsoccurringbetween1marchand31may2020.
  15. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240(2):205–213. DOI: 10.1097/01.sla.0000133083.54934.ae.
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