TY - JOUR
T1 - EAES Recommendations for Recovery Plan in Minimally Invasive Surgery Amid COVID-19 Pandemic
AU - Arezzo, Alberto
AU - Francis, Nader
AU - Mintz, Yoav
AU - Adamina, Michel
AU - Antoniou, Stavros A.
AU - Bouvy, Nicole
AU - Copaescu, Catalin
AU - de Manzini, Nicolò
AU - di Lorenzo, Nicola
AU - Morales-Conde, Salvador
AU - Müller-Stich, Beat P.
AU - Nickel, Felix
AU - Popa, Dorin
AU - Tait, Diana
AU - Thomas, Cenydd
AU - Nimmo, Susan
AU - Paraskevis, Dimitrios
AU - Pietrabissa, Andrea
AU - The EAES Group of Experts for Recovery Amid COVID-19 Pandemic
AU - Eck, Muriel
AU - Letić, Emina
AU - Preda, Silviu Daniel
AU - Tsai, Alice
AU - Malanowska, Ewelina
AU - Lesko, Dusan
AU - Majewski, Wlodzimierz
AU - Baldari, Ludovica
AU - Morelli, Luca
AU - Shamiyeh, Andreas
AU - Faria, Gil
AU - Carrano, Francesco Maria
AU - Mysliwiec, Piotr
AU - Ahlberg, Gunnar
AU - Cassinotti, Elisa
AU - Delibegović, Samir
AU - Martinek, Lubomír
AU - Yiannakopoulou, Eugenia
AU - Gorter-Stam, Marguerite
AU - Gorter-Stam, Marguerite
AU - Hanna, George
AU - Fuchs, Hans
AU - Bjelovic, Miloš
AU - Markar, Sheraz
AU - Yan, Philip Wai
AU - Chiu, null
AU - Ecom, Bang Wool
AU - Kim, Young-Woo
AU - Ponz, Carmen Balagué
AU - Schijven, Marlies
AU - Boni, Luigi
AU - Horeman, Tim
N1 - Funding Information: Open access funding provided by Università degli Studi di Torino within the CRUI-CARE Agreement. Acknowledgements Publisher Copyright: © 2020, The Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/1
Y1 - 2021/1
N2 - 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.
AB - 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.
KW - COVID-19
KW - Delphi consensus
KW - EAES guidance
KW - Minimally invasive surgery
KW - Priority
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85095944143&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/33170335
U2 - https://doi.org/10.1007/s00464-020-08131-0
DO - https://doi.org/10.1007/s00464-020-08131-0
M3 - Article
C2 - 33170335
SN - 0930-2794
VL - 35
SP - 1
EP - 17
JO - Surgical endoscopy
JF - Surgical endoscopy
IS - 1
ER -