Abstract
The coronavirus disease 2019 (COVID-19) pandemic poses an immense threat to healthcare systems worldwide. At a time when elective surgeries are being suspended and questions are being raised about how the remaining procedures on COVID-19 positive patients can be performed safely, it is important to consider the potential role of robotic assisted surgery within the current pandemic. Recently, several robotic assisted surgery societies have issued their recommendations. To date, however, no specific recommendations are available for cardiothoracic robotic assisted surgery in COVID-19 positive patients. Here, we discuss the potential risks, benefits, and preventive measures that need to be taken into account when considering robotic assisted surgery for cardiothoracic indications in patients with confirmed COVID-19. It is suggested that robotic assisted surgery might have various advantages such as early recovery after surgery, shorter hospital stay, and reduced loss of blood and fluids as well as smaller incisions. However, electrosurgical and ultrasonic devices, as well as CO2 insufflation should be managed with caution to prevent the risk of aerosolization of viral particles.
Highlights
The coronavirus disease 2019 (COVID-19) pandemic poses an immense threat to healthcare systems worldwide
Its repercussions are felt in multiple branches of surgery, with the majority of elective surgeries being suspended to prioritize the use of means, operating rooms, and intensive care beds for COVID-19 positive patients
To date no specific recommendations are available for cardiothoracic robotic assisted surgery (RAS) in COVID-19 positive patients
Summary
The coronavirus disease 2019 (COVID-19) pandemic poses an immense threat to healthcare systems worldwide. In response to this situation, various surgical societies have already issued their recommendations on adequate patient selection and preparation, as well as measures that can be taken to minimize the spread of viral particles. During cardiothoracic robotic assisted surgery, take steps to minimize CO2 release Close the taps of ports before inserting them to avoid escape of gas during insertion Attach a CO2 filter (ULPA or similar) or water lock to one of the ports for smoke evacuation.
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