{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T11:44:16Z","timestamp":1784288656034,"version":"3.55.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2021,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>COVID-19 era has put laparoscopic surgery a risk procedure because of theoretical risk of viral transmission of COVID-19. However, safe evacuation of stagnant air during laparoscopic surgery is also necessary to safeguard health care warriors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We are reporting experience of 24 laparoscopic surgeries using a closed smoke evacuation\/filtration system using a ultra low-particulate air (ULPA) filtration capability (ConMed AirSeal\n                      <jats:sup>\u00ae<\/jats:sup>\n                      System) at a single center between March 22, 2020, and May 30, 2020. All surgeries were either urgent or emergency in nature.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Totally, 17 males and 7 females who required urgent surgery. Most common indication for laparoscopic intervention was acute cholecystitis and complications related to acute cholecystitis. Owing to the closed smoke evacuation system, low intra-abdominal pressure was maintained during all surgeries. Of all procedures, only 0.8 time per procedure, the laparoscope taken out for cleaning. Mean time for completion of surgery was 58 minutes. Compliance of surgical staff was high due to the deemed safe smoke evacuation system. Mean of postoperative pain score was low. Mean hospital stay was 4.9 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We propose to use a closed smoke evacuation\/filtration system with ULPA filtration capability or similar devices in each minimally invasive surgery to reduce risks of transmission as minute as possible until we have enough knowledge about the pattern of disease transmission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0481","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T10:41:09Z","timestamp":1599820869000},"page":"455-457","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Laparoscopic Gastrointestinal Surgery During COVID-19 Pandemic: Single-Center Experience"],"prefix":"10.1177","volume":"31","author":[{"given":"Dhaivat","family":"Vaishnav","sequence":"first","affiliation":[{"name":"Department of GI and HPB surgery, Zydus Hospital, Ahmedabad, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavin","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of GI and HPB surgery, Zydus Hospital, Ahmedabad, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.02.054"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.02.055"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","unstructured":"Coccolini F Tartaglia D Puglisi A Giordano C Pistello M Lodato M Chiarugi M. SARS-CoV-2 is present in peritoneal fluid in COVID-19 patients. Ann Surg 2020; (in press).","DOI":"10.1097\/SLA.0000000000004030"},{"key":"e_1_3_3_5_2","unstructured":"Society of American Gastroenterology and Endoscopic Surgeons . Resources for Smoke and Gas Evacuation During Open Laparoscopic and Endoscopic Procedures. https:\/\/www.sages.org\/resources-smoke-gas-evacuation-during-openlaparoscopic-endoscopic-procedures (accessed April6 2020)."},{"key":"e_1_3_3_6_2","author":"Zheng MH","unstructured":"Zheng MH, , Boni L, , Fingerhut A. Minimally invasive surgery and the novel coronavirus outbreak: Lessons learned from Italy. Ann Surg 2020 [Epub ahead of print]; DOI: 10.1097\/SLA.00000.00000.003924.","journal-title":"Ann Surg"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9101(1998)23:3<172::AID-LSM7>3.0.CO;2-M"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004649900771"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.1890330110"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(95)90065-9"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2005.01.014"},{"key":"e_1_3_3_12_2","author":"Mowbray NG","unstructured":"Mowbray NG, , Ansell J, , Horwood J, , Cornish J, , Rizkallah P, , Parker A, , Wall P, , Spinelli A, , Torkington J. Safe management of surgical smoke in the age of COVID-19. Br J Surg [Epub ahead of print]; DOI: 10.1002\/bjs.1167910.","journal-title":"Br J Surg"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5144-y"},{"key":"e_1_3_3_14_2","author":"Xu J","year":"2020","unstructured":"Xu J, , Xu Q-H, , Wang C-M, , Wang J. Psychological status of surgical staff during the COVID-19 outbreak. 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