Experiences of a 'COVID protected' robotic surgical centre for colorectal and urological cancer in the COVID-19 pandemic
| Autor: | A Shiyam Nizar, Jeremy R Huddy, Manar Malki, Henry S Tilney, Ralph Smith, Neil Barber, Matthew Crockett |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Urologic Neoplasms Coronavirus disease 2019 (COVID-19) Colorectal cancer Urology Health Informatics 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures Colorectal surgery Pandemic Urological cancer medicine Humans Robotic surgery 030212 general & internal medicine Elective surgery Pandemics business.industry Rectal Neoplasms SARS-CoV-2 General surgery COVID-19 medicine.disease Coronavirus 030220 oncology & carcinogenesis Surgery Original Article Laparoscopy business Standard operating procedure |
| Zdroj: | Journal of Robotic Surgery |
| ISSN: | 1863-2491 1863-2483 |
| Popis: | The recent COVID-19 pandemic led to the cancellation of elective surgery across the United Kingdom. Re-establishing elective surgery in a manner that ensures patient and staff safety has been a priority. We report our experience and patient outcomes from setting up a “COVID protected” robotic unit for colorectal and renal surgery that housed both the da Vinci Si (Intuitive, Sunnyvale, CA, USA) and the Versius (CMR Surgical, Cambridge, UK) robotic systems. “COVID protected” robotic surgery was undertaken in a day-surgical unit attached to the main hospital. A standard operating procedure was developed in collaboration with the trust COVID-19 leadership team and adapted to national recommendations. 60 patients underwent elective robotic surgery in the initial 10-weeks of the study. This included 10 colorectal procedures and 50 urology procedures. Median length of stay was 4 days for rectal cancer procedures, 2 days less than prior to the COVID period, and 1 day for renal procedures. There were no instances of in-patient coronavirus transmission. Six rectal cancer patients waited more than 62 days for their surgery because of the initial COVID peak but none had an increase T-stage between pre-operative staging and post-operative histology. Robotic surgery can be undertaken in “COVID protected” units within acute hospitals in a safe way that mitigates the increased risk of undergoing major surgery in the current pandemic. Some benefits were seen such as reduced length of stay for colorectal patients that may be associated with having a dedicated unit for elective robotic surgical services. |
| Databáze: | OpenAIRE |
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