EAES Recommendations for Recovery Plan in Minimally Invasive Surgery Amid COVID-19 Pandemic
Arezzo, Alberto (Department of Surgical Sciences. University of Torino)
Francis, Nader (The Griffin Institute. The Northwick Park Institute for Medical Research. Northwick Park and St Marks Hospital)
Mintz, Yoav (Department of Surgery. Hadassah. Hebrew University Medical Center)
Adamina, Michel (Faculty of Medicine. University of Basel)
Antoniou, Stavros A. (Department of Surgery. Mediterranean Hospital of Cyprus)
Bouvy, Nicole (Department of Surgery. Maastricht University Medical Centre)
Copaescu, Catalin (Ponderas Academic Hospital Regina Maria (Bucarest, Romania))
de Manzini, Nicolò (General Surgery Clinic. Department of Medical. Surgical and Health Sciences. University of Trieste. University Hospital of Trieste)
Di Lorenzo, Nicola (Department of Surgical Sciences. University of Rome "Tor Vergata")
Morales-Conde, Salvador (Hospital Universitario Virgen del Rocío (Sevilla, Andalusia))
Müller-Stich, Beat P. (Department of General. Visceral and Transplantation Surgery. Heidelberg University Hospital)
Nickel, Felix (Department of General. Visceral and Transplantation Surgery. Heidelberg University Hospital)
Popa, Dorin (General Surgery. Linköping University Hospital)
Tait, Diana (The Royal Marsden NHS Foundation Trust)
Thomas, Cenydd (Department of Radiology. Yeovil District Hospital NHS Foundation Trust)
Nimmo, Susan (Department of Anaesthesia. Critical Care and Pain Medicine. Western General Hospital)
Paraskevis, Dimitrios (Department of Hygiene. Epidemiology and Medical Statistics. Medical School. National and Kapodistrian University of Athens)
Pietrabissa, Andrea (Department of Surgery. Fondazione IRCCS Policlinico San Matteo)
Eck, M.
Letić, Emina
Preda, Silviu Daniel
Tsai, Alice
Malanowska, Ewelina
Lesko, Dusan
Majewski, Wlodzimierz
Baldari, Ludovica
Morelli, Luca
Shamiyeh, Andreas
Faria, Gil
Carrano, Francesco Maria
Mysliwiec, Piotr
Ahlberg, Gunnar
Cassinotti, Elisa
Delibegović, Samir
Martinek, Lubomír
Yiannakopoulou, Eugenia
Gorter-Stam, Marguerite
Hanna, George
Fuchs, Hans
Bjelovic, Miloš
Markar, Sheraz
Yan, Philip Wai
Chiu, Bang
Ecom, Bang Wool
Kim, Young-Woo
Balaguè Ponz, Carmen (Institut d'Investigació Biomèdica Sant Pau)
Schijven, Marlies
Boni, Luigi
Carus, Thomas
Theodoropoulos, George
Forgione, Antonello
Milone, Marco
Petz, Luisa Wanda Rita
Andrejevic, Predag
Ignjatovic, Dejan
Arulampalam, Thanjakumar
Campbell, Kenneth
Chand, Manish
Coleman, Mark
Kontovounisios, Christos
Sagiv, Chen
Ficuciello, Fanny
Marconi, Stefania
Mascagni, Pietro (IHU-Strasbourg. Institute of Image-Guided Surgery)
Nakajima, Kiyokazu
Sánchez Margallo, Francisco Miguel
Horeman, Tim
Mylonas, George
Valdastri, Pietro

Date:	2021
Abstract:	Background: COVID-19 pandemic presented an unexpected challenge for the surgical community in general and Minimally Invasive Surgery (MIS) specialists in particular. This document aims to summarize recent evidence and experts' opinion and formulate recommendations to guide the surgical community on how to best organize the recovery plan for surgical activity across different sub-specialities after the COVID-19 pandemic. Methods: Recommendations were developed through a Delphi process for establishment of expert consensus. Domain topics were formulated and subsequently subdivided into questions pertinent to different surgical specialities following the COVID-19 crisis. Sixty-five experts from 24 countries, representing the entire EAES board, were invited. Fifty clinicians and six engineers accepted the invitation and drafted statements based on specific key questions. Anonymous voting on the statements was performed until consensus was achieved, defined by at least 70% agreement. Results: A total of 92 consensus statements were formulated with regard to safe resumption of surgery across eight domains, addressing general surgery, upper GI, lower GI, bariatrics, endocrine, HPB, abdominal wall and technology/research. The statements addressed elective and emergency services across all subspecialties with specific attention to the role of MIS during the recovery plan. Eighty-four of the statements were approved during the first round of Delphi voting (91. 3%) and another 8 during the following round after substantial modification, resulting in a 100% consensus. Conclusion: The recommendations formulated by the EAES board establish a framework for resumption of surgery following COVID-19 pandemic with particular focus on the role of MIS across surgical specialities. The statements have the potential for wide application in the clinical setting, education activities and research work across different healthcare systems.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	COVID-19 ; Delphi consensus ; EAES guidance ; Priority ; Minimally invasive surgery
Published in:	Surgical endoscopy, Vol. 35 Núm. 1 (january 2021) , p. 1-17, ISSN 1432-2218

DOI: 10.1007/s00464-020-08131-0
PMID: 33170335

17 p, 810.8 KB

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