{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T15:28:10Z","timestamp":1793460490045,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to evaluate the impact of the coronavirus disease (COVID\u201019) pandemic on elective endoscopic surgeries in Japan using the National Clinical Database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed the clinicopathological factors and surgical outcomes of laparoscopic cholecystectomy (LC), laparoscopic distal gastrectomy (LDG), and laparoscopic low anterior resection (LLAR) and compared the monthly numbers of each procedure performed in 2020 with those in 2018 and 2019. The degree of infection in prefectures was classified into low and high groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2020, the number of LCs (except for acute cholecystitis) was 76\u2009079 (93.0% of that in 2019), the number of LDGs was 14\u2009271 (85.9% of that in 2019), and the number of LLARs was 19\u2009570 (88.1% of that in 2019). Although the number of robot\u2010assisted LDG and LLAR cases increased in 2020, the growth rate was mild compared with that in 2019. There was little difference in the number of cases in the degree of infection in the prefectures. The numbers of LC, LDG, and LLAR cases decreased from May to June and recovered gradually. In late 2020, the proportion of T4 and N2 cases of gastric cancer and the number of T4 cases of rectal cancer increased compared with those in 2019. There was little difference between the proportions of postoperative complications and mortality in the three procedures between 2019 and 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The number of endoscopic surgeries decreased in 2020 as a result of the COVID\u201019 pandemic. However, the procedures were performed safely in Japan.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ags3.12660","type":"journal-article","created":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T05:25:12Z","timestamp":1676525112000},"page":"572-582","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The clinical impact of <scp>COVID<\/scp>\u201019 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2800-8314","authenticated-orcid":false,"given":"Hidefumi","family":"Shiroshita","sequence":"first","affiliation":[{"name":"Academic Committee of Japan Society for Endoscopic Surgery  Tokyo Japan"},{"name":"Department of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine  Oita 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