• Urologic oncology · May 2021

    Postoperative assessment of nosocomial transmission of COVID-19 after robotic surgical procedures during the pandemic.

    • Thomas Tabourin, Judith Sarfati, Ugo Pinar, Nicolas Beaud, Jerôme Parra, Christophe Vaessen, Florie Gomez, Daniel Benamran, Geoffroy Canlorbe, Jérémie Belghiti, Emmanuel Chartier-Kastler, Olivier Cussenot, Thomas Seisen, and Morgan Roupret.
    • Sorbonne University, GRC n 5, Predictive Onco-Urology, APHP, Hôpital Pitié-Salpêtrière, Urology, Paris, France.
    • Urol. Oncol. 2021 May 1; 39 (5): 298.e7-298.e11.

    ObjectivesTo assess potential nosocomial coronavirus disease-2019 (COVID-19) transmission in patients who underwent robot-assisted laparoscopic procedures during the pandemic.Material And MethodsProspective study in patients undergoing robot-assisted laparoscopy in urology or gynaecology within 2 academic hospitals. Patients underwent local preoperative COVID-19 screening using a symptoms questionnaire. Patients with suspicious screening underwent coronavirus real time-polymerase chain reaction (RT-PCR) and were excluded from robotic surgery if positive. Patients with symptoms postsurgery were systematically tested for coronavirus by RT-PCR. One-month postsurgery, all patients had a telephone consultation to evaluate COVID-19 symptoms.ResultsSixty-eight patients underwent robotic surgery during the study period (median age: 63-years [IQR: 53-70], 1.8 male: female ratio). Oncology was the main indication for robotic surgery (n = 62, 91.2%) and 26 patients (38.2%) received a chest CT-scan prior to surgery. Eleven patients (16.2%) were symptomatic after surgery of whom only 1 tested positive for coronavirus by RT-PCR (1.5%) and was transferred to COVID-19 unit with no life-threatening condition. No attending surgeon was diagnosed with COVID-19 during the study.ConclusionsRobot-assisted laparoscopic surgery seemed safe in the era of COVID-19 as long as all recommended precautions are followed. The rate of nosocomial COVID-19 transmission was extremely low despite the fact that we only used RT-PCR testing in symptomatic patients during the preoperative work-up. Larger cohort is needed to validate these results.Copyright © 2020 Elsevier Inc. All rights reserved.

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