{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:55:08Z","timestamp":1789844108280,"version":"4.0.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T00:00:00Z","timestamp":1620345600000},"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":["Surg Innov"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>\n                    Background. The COVID-19 pandemic leads to several debates regarding the possible risk for healthcare professionals during surgery. SAGES and EAES raised the issue of the transmission of infection through the surgical smoke during laparoscopy. They recommended the use of smoke evacuation devices (SEDs) with CO\n                    <jats:sub>2<\/jats:sub>\n                    filtering systems. The aim of the present study is to compare the efficacy of different SEDs evaluating the CO\n                    <jats:sub>2<\/jats:sub>\n                    environmental dispersion in the operating theater. Methods. We prospectively evaluated the data of 4 group of patients on which we used different SEDs or standard trocars: AIRSEAL system (S1 group), a homemade device (S2 group), an AIRSEAL system + homemade device (S3 group), and with standard trocars and without SED (S4 group). Quantitative analysis of CO2 environmental dispersion was carried out associated to the following data in order to evaluate the pneumoperitoneum variations: a preset insufflation pressure, real intraoperative pneumoperitoneum pressure, operative time, total volume of insufflated CO\n                    <jats:sub>2<\/jats:sub>\n                    , and flow rate index. Results. 16 patients were prospectively enrolled. The [CO\n                    <jats:sub>2<\/jats:sub>\n                    ] mean value was 711\u00a0ppm, 641\u00a0ppm, 593\u00a0ppm, and 761\u00a0ppm in S1, S2, S3, and S4 groups, respectively. The comparison between data of all groups showed statistically significant differences in the measured ambient CO\n                    <jats:sub>2<\/jats:sub>\n                    concentration. Conclusion. All tested SEDs seem to be useful to reduce the CO\n                    <jats:sub>2<\/jats:sub>\n                    environmental dispersion respect to the use of standard trocars. The association of AIRSEAL system and a homemade device seems to be the best solution combining an adequate smoke evacuation and a stable pneumoperitoneum during laparoscopic surgery.\n                  <\/jats:p>","DOI":"10.1177\/15533506211014857","type":"journal-article","created":{"date-parts":[[2021,5,9]],"date-time":"2021-05-09T03:58:48Z","timestamp":1620532728000},"page":"154-159","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Smoke Evacuation During Laparoscopic Surgery: A Problem Beyond the COVID-19 Period. A Quantitative Analysis of CO\n                    <sub>2<\/sub>\n                    Environmental Dispersion Using Different Devices"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9868-0889","authenticated-orcid":false,"given":"Umberto","family":"Bracale","sequence":"first","affiliation":[{"name":"Department of General Surgery and Surgical Specialty, General and Mini-Invasive Surgical Unit, University Federico II of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vania","family":"Silvestri","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Surgical Specialty, General and Mini-Invasive Surgical Unit, University Federico II of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Pontecorvi","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Surgical Specialty, General and Mini-Invasive Surgical Unit, University Federico II of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Immacolata","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Public Health, University Federico II of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Triassi","sequence":"additional","affiliation":[{"name":"Department of Public Health, University Federico II of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Cassinotti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico di Milano, University of Milan, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Merola","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Surgical Specialty, General and Mini-Invasive Surgical Unit, University Federico II of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Montuori","sequence":"additional","affiliation":[{"name":"Department of Public Health, University Federico II of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Boni","sequence":"additional","affiliation":[{"name":"Department of Surgery, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico di Milano, University of Milan, Milan, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Corcione","sequence":"additional","affiliation":[{"name":"Department of General Surgery and Surgical Specialty, General and Mini-Invasive Surgical Unit, University Federico II of Naples, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,7]]},"reference":[{"key":"bibr1-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2001017"},{"key":"bibr2-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2005.01.014"},{"key":"bibr3-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2016-103724"},{"key":"bibr4-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11679"},{"key":"bibr5-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-014-3472-3"},{"key":"bibr6-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07565-w"},{"key":"bibr7-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003965"},{"key":"bibr8-15533506211014857","volume-title":"Resources for smoke & gas evacuation during open, laparoscopic, and endoscopic procedures. SAGES","author":"SAGES","year":"2020"},{"key":"bibr9-15533506211014857","doi-asserted-by":"publisher","DOI":"10.4209\/aaqr.2016.05.0191"},{"key":"bibr10-15533506211014857","doi-asserted-by":"publisher","DOI":"10.2298\/aci0901041b"},{"key":"bibr11-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003924"},{"key":"bibr12-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-021-01010-w"},{"key":"bibr13-15533506211014857","author":"TRCoSo E","year":"2020","journal-title":"The Royal College of Surgeons of Edinburgh"},{"key":"bibr14-15533506211014857","volume-title":"2017 TLVS and BEIs Based on the Documentation of the Threshold Limit Values for Chemical Substances and Physical Agents & Biological Exposure Indices","author":"American Conference of Governmental Industrial Hygienists (A.C.G.I.H.)","year":"2017"},{"key":"bibr15-15533506211014857","doi-asserted-by":"publisher","DOI":"10.1080\/10962247.2020.1717675"}],"container-title":["Surgical Innovation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506211014857","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15533506211014857","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15533506211014857","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:22:46Z","timestamp":1777706566000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15533506211014857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,7]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1177\/15533506211014857"],"URL":"https:\/\/doi.org\/10.1177\/15533506211014857","relation":{},"ISSN":["1553-3506","1553-3514"],"issn-type":[{"value":"1553-3506","type":"print"},{"value":"1553-3514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,7]]}}}