Top 100. Revisión de los artículos más citados sobre cirugía laparoscópica del páncreas

Manuel-Vázquez, Alba; Oliver-Guillén, José Ramón; Latorre-Fragua, Raquel; Cano, Albert Julià; Martín, Mario Serradilla; Ramia, José Manuel

doi:10.1016/j.ciresp.2020.05.001

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…With the development of the COVID-19 pandemic, some authors have published their surgical experience during the pandemic [6,10,11] or have reported their protocol to treat surgical patients with COVID-19 [12][13][14][15][16][17][18]. Nevertheless, as far as we know, the reduction of ACSA observed during this pandemic has never been properly reported.…”

Section: Discussionmentioning

confidence: 99%

“…Medical and nursing staff were redistributed and outpatient clinic visits were cancelled or conducted online or by phone [3,4]. Departments of Surgery were, for sure, affected by these changes; elective procedures were delayed, staff members were allocated to reinforce the ICU and surgeons were reorganized in closed working https://doi.org/10.1016/j.ijsu.2020.07.002 Received 19 May 2020; Received in revised form 29 June 2020; Accepted 3 July 2020 groups to avoid infections between them [5,6]. Certainly, another one of these changes was a reduction in Acute Care Surgery Activity (ACSA).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acute Care Surgery during the COVID-19 pandemic in Spain: Changes in volume, causes and complications. A multicentre retrospective cohort study

Cano-Valderrama

Morales

Ferrigni

et al. 2020

International Journal of Surgery

167

178

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Background during the COVID-19 pandemic, the number of Acute Care Surgery procedures performed in Spanish hospitals decreased significantly. The aim of this study was to compare Acute Care Surgery activity during the COVID-19 pandemic and during a control period. Material and methods a multicenter retrospective cohort study was performed including patients who underwent Acute Care Surgery in three tertiary care hospitals in Spain during a control (11 th March 2019 to 21 st April 2019) and a pandemic (16 th March 2020 to 26 th April 2020) period. Type of surgical procedures, patients' features and postoperative complications were compared. Results two hundred and eighty-five and 117 patients were included in each group. Mean number of patients who underwent Acute Care Surgery during the control and pandemic periods was 2.3 and 0.9 patients per day and hospital (p < 0.001), representing a 58.9% decrease in Acute Care Surgery activity. Time from symptoms onset to patient arrival at the Emergency Department was longer during the pandemic (44.6 vs. 71.0 h, p < 0.001). Surgeries due to acute cholecystitis and complications from previous elective procedures decreased (26.7% vs. 9.4%) during the pandemic, while bowel obstructions and abdominal wall hernia surgeries increased (12.3% vs. 22.2%) (p = 0.001). Morbidity was higher during pandemic period (34.7% vs. 47.1%, p = 0.022), although this difference was not statistically significant in the multivariate analysis. Reoperation rate (17.9% vs. 12.8%, p = 0.212) and mortality (6.7% vs. 4.3%, p = 0.358) were similar in both groups. Conclusion during the COVID-19 pandemic, a significant reduction in the performance of Acute Care Surgery procedures was observed. Moreso, a longer time from symptoms onset to patient arrival at the Emergency Department was noted. Higher morbidity was observed in patients undergoing Acute Care Surgery during the pandemic period, although there was not any difference in mortality or reoperation rate.

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