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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorFleming, CA
dc.contributor.authorFullard, Anna
dc.contributor.authorCroghan, Stefanie
dc.contributor.authorPellino, Gianluca
dc.contributor.authorPata, Francesco
dc.date.accessioned2022-09-12T10:17:31Z
dc.date.available2022-09-12T10:17:31Z
dc.date.issued2022-05-24
dc.identifier.citationFleming CA, Fullard A, Croghan S, Pellino G, Pata F, et al. Robotic Abdominal Surgery and COVID-19: A Systematic Review of Published Literature and Peer-Reviewed Guidelines during the SARS-CoV-2 Pandemic. J Clin Med. 2022 May 24;11(11):2957.
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/11351/8162
dc.descriptionSARS-CoV-2; Abdominal surgery; Robotic surgery
dc.description.abstractBackground: Significant concern emerged at the beginning of the SARS-CoV-2 pandemic regarding the safety and practicality of robotic-assisted surgery (RAS). We aimed to review reported surgical practice and peer-reviewed published review recommendations and guidelines relating to RAS during the pandemic. Methods: A systematic review was performed in keeping with PRISMA guidelines. This study was registered on Open Science Framework. Databases were searched using the following search terms: ‘robotic surgery’, ‘robotics’, ‘COVID-19’, and ‘SARS-CoV-2’. Firstly, articles describing any outcome from or reference to robotic surgery during the COVID-19/SARS-CoV-2 pandemic were considered for inclusion. Guidelines or review articles that outlined recommendations were included if published in a peer-reviewed journal and incorporating direct reference to RAS practice during the pandemic. The ROBINS-I (Risk of Bias in Non-Randomised Studies of Intervention) tool was used to assess the quality of surgical practice articles and guidelines and recommendation publications were assessed using the AGREE-II reporting tool. Publication trends, median time from submission to acceptance were reported along with clinical outcomes and practice recommendations. Results: Twenty-nine articles were included: 15 reporting RAS practice and 14 comprising peer-reviewed guidelines or review recommendations related to RAS during the pandemic, with multiple specialities (i.e., urology, colorectal, digestive surgery, and general minimally invasive surgery) covered. Included articles were published April 2020—December 2021, and the median interval from first submission to acceptance was 92 days. All surgical practice studies scored ‘low’ or ‘moderate’ risk of bias on the ROBINS-I assessment. All guidelines and recommendations scored ‘moderately well’ on the AGREE-II assessment; however, all underperformed in the domain of public and patient involvement. Overall, there were no increases in perioperative complication rates or mortalities in patients who underwent RAS compared to that expected in non-COVID practice. RAS was deemed safe, with recommendations for mitigation of risk of viral transmission. Conclusions: Continuation of RAS was feasible and safe during the SARS-CoV-2 pandemic where resources permitted. Post-pandemic reflections upon published robotic data and publication patterns allows us to better prepare for future events and to enhance urgent guideline design processes.
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofseriesJournal of Clinical Medicine;11(11)
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectCirurgia assistida per ordinador
dc.subjectAbdomen - Cirurgia
dc.subjectCOVID-19 (Malaltia)
dc.subject.meshRobotic Surgical Procedures
dc.subject.meshCoronavirus Infections
dc.subject.meshTreatment Outcome
dc.titleRobotic Abdominal Surgery and COVID-19: A Systematic Review of Published Literature and Peer-Reviewed Guidelines during the SARS-CoV-2 Pandemic
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.3390/jcm11112957
dc.subject.decsprocedimientos quirúrgicos robotizados
dc.subject.decsinfecciones por Coronavirus
dc.subject.decsresultado del tratamiento
dc.relation.publishversionhttps://doi.org/10.3390/jcm11112957
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Fleming CA] Department of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland. PROGRESS Fellow, Royal College of Surgeons in Ireland, Dublin, Ireland. [Fullard A] Department of Colorectal Surgery, University Hospital Galway, Galway, Ireland. [Croghan S] Strategic Academic Recruitment (StAR) Programme (Urology) Royal College of Surgeons, Dublin, Ireland. [Pellino G] Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania “Luigi Vanvitelli”, Naples, Italy. Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Pata F] General Surgery Unit, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy. La Sapienza University, Rome, Italy
dc.identifier.pmid35683346
dc.identifier.wos000808879100001
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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