Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemic
Abstract Background The SARS-CoV2 virus has been identified in abdominal cavity of the COVID-19 patients. Therefore, the potential viral transmission from any surgical created smoke in these patients is of concern especially in laparoscopic surgery. This study aimed to compare the amount of surgical...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-12-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-021-01432-8 |
| _version_ | 1828138811880636416 |
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| author | Voraboot Taweerutchana Tharathorn Suwatthanarak Asada Methasate Thawatchai Akaraviputh Jirawat Swangsri Chainarong Phalanusitthepha Atthaphorn Trakarnsanga Thammawat Parakonthun Nicha Srisuworanan Thikhamporn Tawantanakorn Rosarin Ratanalekha Varut Lohsiriwat Vitoon Chinswangwatanakul |
| author_facet | Voraboot Taweerutchana Tharathorn Suwatthanarak Asada Methasate Thawatchai Akaraviputh Jirawat Swangsri Chainarong Phalanusitthepha Atthaphorn Trakarnsanga Thammawat Parakonthun Nicha Srisuworanan Thikhamporn Tawantanakorn Rosarin Ratanalekha Varut Lohsiriwat Vitoon Chinswangwatanakul |
| author_sort | Voraboot Taweerutchana |
| collection | DOAJ |
| description | Abstract Background The SARS-CoV2 virus has been identified in abdominal cavity of the COVID-19 patients. Therefore, the potential viral transmission from any surgical created smoke in these patients is of concern especially in laparoscopic surgery. This study aimed to compare the amount of surgical smoke and surgical field contamination between laparoscopic and open surgery in fresh cadavers. Methods Cholecystectomy in 12 cadavers was performed and they were divided into 4 groups: laparoscopic approach with or without smoke evacuator, and open approach with or without smoke evacuator. The increased particle counts in surgical smoke of each group were analyzed. In the model of appendectomy, surgical field contamination under ultraviolet light and visual contamination scale between laparoscopic and open approach were compared. Results Open cholecystectomy significantly produced a greater amount of overall particle sizes, particle sizes < 5 μm and particle sizes ≥ 5 μm than laparoscopic cholecystectomy (10,307 × 103 vs 3738 × 103, 10,226 × 103 vs 3685 × 103 and 81 × 103 vs 53 × 103 count/m3, respectively at p < 0.05). The use of smoke evacuator led to decrease in the amount of overall particle sizes of 58% and 32.4% in the open and laparoscopic chelecystectomy respectively. Median (interquatile range) visual contamination scale of surgical field in open appendectomy [3.50 (2.33, 4.67)] was significantly greater than laparoscopic appendectomy [1.50 (0.67, 2.33)] at p < 0.001. Conclusions Laparoscopic cholecystectomy yielded less smoke-related particles than open cholecystectomy. The use of smoke evacuator, abeit non-significantly, reduced the particles in both open and laparoscopic cholecystectomy. Laparoscopic appendectomy had a lower degree of surgical field contamination than the open approach. |
| first_indexed | 2024-04-11T18:42:15Z |
| format | Article |
| id | doaj.art-b4aeb25f7e5a401a9920ec1bb531e321 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-11T18:42:15Z |
| publishDate | 2021-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-b4aeb25f7e5a401a9920ec1bb531e3212022-12-22T04:08:57ZengBMCBMC Surgery1471-24822021-12-012111810.1186/s12893-021-01432-8Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemicVoraboot Taweerutchana0Tharathorn Suwatthanarak1Asada Methasate2Thawatchai Akaraviputh3Jirawat Swangsri4Chainarong Phalanusitthepha5Atthaphorn Trakarnsanga6Thammawat Parakonthun7Nicha Srisuworanan8Thikhamporn Tawantanakorn9Rosarin Ratanalekha10Varut Lohsiriwat11Vitoon Chinswangwatanakul12Division of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDepartment of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityDivision of General Surgery, Office of Division of General Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol UniversityAbstract Background The SARS-CoV2 virus has been identified in abdominal cavity of the COVID-19 patients. Therefore, the potential viral transmission from any surgical created smoke in these patients is of concern especially in laparoscopic surgery. This study aimed to compare the amount of surgical smoke and surgical field contamination between laparoscopic and open surgery in fresh cadavers. Methods Cholecystectomy in 12 cadavers was performed and they were divided into 4 groups: laparoscopic approach with or without smoke evacuator, and open approach with or without smoke evacuator. The increased particle counts in surgical smoke of each group were analyzed. In the model of appendectomy, surgical field contamination under ultraviolet light and visual contamination scale between laparoscopic and open approach were compared. Results Open cholecystectomy significantly produced a greater amount of overall particle sizes, particle sizes < 5 μm and particle sizes ≥ 5 μm than laparoscopic cholecystectomy (10,307 × 103 vs 3738 × 103, 10,226 × 103 vs 3685 × 103 and 81 × 103 vs 53 × 103 count/m3, respectively at p < 0.05). The use of smoke evacuator led to decrease in the amount of overall particle sizes of 58% and 32.4% in the open and laparoscopic chelecystectomy respectively. Median (interquatile range) visual contamination scale of surgical field in open appendectomy [3.50 (2.33, 4.67)] was significantly greater than laparoscopic appendectomy [1.50 (0.67, 2.33)] at p < 0.001. Conclusions Laparoscopic cholecystectomy yielded less smoke-related particles than open cholecystectomy. The use of smoke evacuator, abeit non-significantly, reduced the particles in both open and laparoscopic cholecystectomy. Laparoscopic appendectomy had a lower degree of surgical field contamination than the open approach.https://doi.org/10.1186/s12893-021-01432-8COVID-19Surgical smokeParticle countContaminationLaparoscopic surgerySmoke evacuator |
| spellingShingle | Voraboot Taweerutchana Tharathorn Suwatthanarak Asada Methasate Thawatchai Akaraviputh Jirawat Swangsri Chainarong Phalanusitthepha Atthaphorn Trakarnsanga Thammawat Parakonthun Nicha Srisuworanan Thikhamporn Tawantanakorn Rosarin Ratanalekha Varut Lohsiriwat Vitoon Chinswangwatanakul Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemic BMC Surgery COVID-19 Surgical smoke Particle count Contamination Laparoscopic surgery Smoke evacuator |
| title | Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemic |
| title_full | Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemic |
| title_fullStr | Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemic |
| title_full_unstemmed | Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemic |
| title_short | Laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery: the pilot study in fresh cadaveric experiment in COVID-19 pandemic |
| title_sort | laparoscopic surgery produced less surgical smoke and contamination comparing with open surgery the pilot study in fresh cadaveric experiment in covid 19 pandemic |
| topic | COVID-19 Surgical smoke Particle count Contamination Laparoscopic surgery Smoke evacuator |
| url | https://doi.org/10.1186/s12893-021-01432-8 |
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