Perspectives from Italy during the COVID-19 pandemic: nationwide survey-based focus on minimally invasive HPB surgery

L. Aldrighetti; U. Boggi; M. Falconi; Felice Giuliante; F. Cipriani; F. Ratti; G. Torzilli; M. Abu Hilal; S. Andrianello; A. Anselmo; Francesco Ardito; L. B. Gian; F. Banchini; M. Barabino; A. Barberis; C. Bassi; G. Batignani; C. Battiston; A. Belli; S. Berti; P. Bianco; A. Brolese; S. Brozzetti; G. Butturini; F. Calise; K. Carabott; G. Capretti; R. Casadei; M. Cescon; M. Cesaretti; U. Cillo; N. Cinardi; M. Colledan; A. Coppola; C. Cotsoglou; S. Crippa; E. D. Bona; R. D. Valle; M. De Angelis; L. De Carlis; F. Di Benedetto; P. Di Sebastiano; L. Dova; G. Ercolani; A. Esposito; M. E. Giuseppe; A. Fabris; A. Ferrero; A. Frena; I. Frigerio; L. Gianotti; A. Giuliani; G. Grazi; E. Gringeri; G. Griseri; S. Gruttadauria; A. Guglielmi; F. Izzo; E. Jovine; E. Lanza; G. Malleo; L. Manzini; M. Massani; V. Mazzaferro; R. Memeo; F. Minni; L. Morelli; G. Nappo; B. Nardo; F. Orlando; S. Partelli; A. Patriti; R. Patrone; A. Percivale; G. Piccolo; M. Ravaioli; P. Reggiani; M. Risaliti; A. Rocca; R. Romagnoli; F. Romano; N. Russolillo; A. Ruzzenente; E. Saladino; R. Salvia; R. Santambrogio; P. Tarchi; A. Troci; R. Troisi; L. Urbani; L. Veneroni; G. Vennarecci; L. Vigano; M. Viola; F. Vistoli; M. Vivarelli; M. Zanello; G. Zanus; A. Zerbi

doi:10.1007/s13304-020-00815-5

Perspectives from Italy during the COVID-19 pandemic: nationwide survey-based focus on minimally invasive HPB surgery

L. Aldrighetti, U. Boggi, M. Falconi, Felice Giuliante, F. Cipriani, F. Ratti, G. Torzilli, M. Abu Hilal, S. Andrianello, A. Anselmo, Francesco Ardito, L. B. Gian, F. Banchini, M. Barabino, A. Barberis, C. Bassi, G. Batignani, C. Battiston, A. Belli, S. BertiP. Bianco, A. Brolese, S. Brozzetti, G. Butturini, F. Calise, K. Carabott, G. Capretti, R. Casadei, M. Cescon, M. Cesaretti, U. Cillo, N. Cinardi, M. Colledan, A. Coppola, C. Cotsoglou, S. Crippa, E. D. Bona, R. D. Valle, M. De Angelis, L. De Carlis, F. Di Benedetto, P. Di Sebastiano, L. Dova, G. Ercolani, A. Esposito, M. E. Giuseppe, A. Fabris, A. Ferrero, A. Frena, I. Frigerio, L. Gianotti, A. Giuliani, G. Grazi, E. Gringeri, G. Griseri, S. Gruttadauria, A. Guglielmi, F. Izzo, E. Jovine, E. Lanza, G. Malleo, L. Manzini, M. Massani, V. Mazzaferro, R. Memeo, F. Minni, L. Morelli, G. Nappo, B. Nardo, F. Orlando, S. Partelli, A. Patriti, R. Patrone, A. Percivale, G. Piccolo, M. Ravaioli, P. Reggiani, M. Risaliti, A. Rocca, R. Romagnoli, F. Romano, N. Russolillo, A. Ruzzenente, E. Saladino, R. Salvia, R. Santambrogio, P. Tarchi, A. Troci, R. Troisi, L. Urbani, L. Veneroni, G. Vennarecci, L. Vigano, M. Viola, F. Vistoli, M. Vivarelli, M. Zanello, G. Zanus, A. Zerbi

Risultato della ricerca: Contributo in rivista › Articolo in rivista

2 Citazioni (Scopus)

Abstract

The safety of minimally invasive procedures during COVID pandemic remains hotly debated, especially in a country, like Italy, where minimally invasive techniques have progressively and pervasively entered clinical practice, in both the hepatobiliary and pancreatic community. A nationwide snapshot of the management of HPB minimally invasive surgery activity during COVID-19 pandemic is provided: a survey was developed and conducted within AICEP (Italian Association of HepatoBilioPancreatic Surgeons) with the final aim of conveying the experience, knowledge, and opinions into a unitary report enabling more efficient crisis management. Results from the survey (81 respondents) show that, in Italian hospitals, minimally invasive surgery maintains its role despite the COVID-19 pandemic, with the registered reduction of cases being proportional to the overall reduction of the HPB surgical activity. Respondents agree that the switch from minimally invasive to open technique can be considered as a valid option for cases with a high technical complexity. Several issues merit specific attention: screening for virus positivity should be universally performed; only expert surgical teams should operate on positive patients and specific technical measures to lower the biological risk of contamination during surgery must be followed. Future studies specifically designed to establish the true risks in minimally invasive surgery are suggested. Furthermore, a standard and univocal process of prioritization of patients from Regional Healthcare Systems is advisable.

Lingua originale	English
pagine (da-a)	241-247
Numero di pagine	7
Rivista	Updates in Surgery
Volume	72
DOI	https://doi.org/10.1007/s13304-020-00815-5
Stato di pubblicazione	Pubblicato - 2020

Keywords

Biliary Tract Diseases
COVID-19
Coronavirus Infections
Health Care Surveys
Humans
Italy
Liver
Liver Diseases
Minimally Invasive Surgical Procedures
Minimally invasive
Pancreas
Pancreatic Diseases
Pandemic
Pandemics
Pneumonia, Viral

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10.1007/s13304-020-00815-5

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Aldrighetti, L., Boggi, U., Falconi, M., Giuliante, F., Cipriani, F., Ratti, F., Torzilli, G., Abu Hilal, M., Andrianello, S., Anselmo, A., Ardito, F., Gian, L. B., Banchini, F., Barabino, M., Barberis, A., Bassi, C., Batignani, G., Battiston, C., Belli, A., ... Zerbi, A. (2020). Perspectives from Italy during the COVID-19 pandemic: nationwide survey-based focus on minimally invasive HPB surgery. Updates in Surgery, 72, 241-247. https://doi.org/10.1007/s13304-020-00815-5

@article{0b603c9a6cc84f06893d5d88a28e31aa,

title = "Perspectives from Italy during the COVID-19 pandemic: nationwide survey-based focus on minimally invasive HPB surgery",

abstract = "The safety of minimally invasive procedures during COVID pandemic remains hotly debated, especially in a country, like Italy, where minimally invasive techniques have progressively and pervasively entered clinical practice, in both the hepatobiliary and pancreatic community. A nationwide snapshot of the management of HPB minimally invasive surgery activity during COVID-19 pandemic is provided: a survey was developed and conducted within AICEP (Italian Association of HepatoBilioPancreatic Surgeons) with the final aim of conveying the experience, knowledge, and opinions into a unitary report enabling more efficient crisis management. Results from the survey (81 respondents) show that, in Italian hospitals, minimally invasive surgery maintains its role despite the COVID-19 pandemic, with the registered reduction of cases being proportional to the overall reduction of the HPB surgical activity. Respondents agree that the switch from minimally invasive to open technique can be considered as a valid option for cases with a high technical complexity. Several issues merit specific attention: screening for virus positivity should be universally performed; only expert surgical teams should operate on positive patients and specific technical measures to lower the biological risk of contamination during surgery must be followed. Future studies specifically designed to establish the true risks in minimally invasive surgery are suggested. Furthermore, a standard and univocal process of prioritization of patients from Regional Healthcare Systems is advisable.",

keywords = "Biliary Tract Diseases, COVID-19, Coronavirus Infections, Health Care Surveys, Humans, Italy, Liver, Liver Diseases, Minimally Invasive Surgical Procedures, Minimally invasive, Pancreas, Pancreatic Diseases, Pandemic, Pandemics, Pneumonia, Viral, Biliary Tract Diseases, COVID-19, Coronavirus Infections, Health Care Surveys, Humans, Italy, Liver, Liver Diseases, Minimally Invasive Surgical Procedures, Minimally invasive, Pancreas, Pancreatic Diseases, Pandemic, Pandemics, Pneumonia, Viral",

author = "L. Aldrighetti and U. Boggi and M. Falconi and Felice Giuliante and F. Cipriani and F. Ratti and G. Torzilli and {Abu Hilal}, M. and S. Andrianello and A. Anselmo and Francesco Ardito and Gian, {L. B.} and F. Banchini and M. Barabino and A. Barberis and C. Bassi and G. Batignani and C. Battiston and A. Belli and S. Berti and P. Bianco and A. Brolese and S. Brozzetti and G. Butturini and F. Calise and K. Carabott and G. Capretti and R. Casadei and M. Cescon and M. Cesaretti and U. Cillo and N. Cinardi and M. Colledan and A. Coppola and C. Cotsoglou and S. Crippa and Bona, {E. D.} and Valle, {R. D.} and {De Angelis}, M. and {De Carlis}, L. and {Di Benedetto}, F. and {Di Sebastiano}, P. and L. Dova and G. Ercolani and A. Esposito and Giuseppe, {M. E.} and A. Fabris and A. Ferrero and A. Frena and I. Frigerio and L. Gianotti and A. Giuliani and G. Grazi and E. Gringeri and G. Griseri and S. Gruttadauria and A. Guglielmi and F. Izzo and E. Jovine and E. Lanza and G. Malleo and L. Manzini and M. Massani and V. Mazzaferro and R. Memeo and F. Minni and L. Morelli and G. Nappo and B. Nardo and F. Orlando and S. Partelli and A. Patriti and R. Patrone and A. Percivale and G. Piccolo and M. Ravaioli and P. Reggiani and M. Risaliti and A. Rocca and R. Romagnoli and F. Romano and N. Russolillo and A. Ruzzenente and E. Saladino and R. Salvia and R. Santambrogio and P. Tarchi and A. Troci and R. Troisi and L. Urbani and L. Veneroni and G. Vennarecci and L. Vigano and M. Viola and F. Vistoli and M. Vivarelli and M. Zanello and G. Zanus and A. Zerbi",

year = "2020",

doi = "10.1007/s13304-020-00815-5",

language = "English",

volume = "72",

pages = "241--247",

journal = "Updates in Surgery",

issn = "2038-131X",

publisher = "Milano : Springer-Verlag Italia",

}

Aldrighetti, L, Boggi, U, Falconi, M, Giuliante, F, Cipriani, F, Ratti, F, Torzilli, G, Abu Hilal, M, Andrianello, S, Anselmo, A, Ardito, F, Gian, LB, Banchini, F, Barabino, M, Barberis, A, Bassi, C, Batignani, G, Battiston, C, Belli, A, Berti, S, Bianco, P, Brolese, A, Brozzetti, S, Butturini, G, Calise, F, Carabott, K, Capretti, G, Casadei, R, Cescon, M, Cesaretti, M, Cillo, U, Cinardi, N, Colledan, M, Coppola, A, Cotsoglou, C, Crippa, S, Bona, ED, Valle, RD, De Angelis, M, De Carlis, L, Di Benedetto, F, Di Sebastiano, P, Dova, L, Ercolani, G, Esposito, A, Giuseppe, ME, Fabris, A, Ferrero, A, Frena, A, Frigerio, I, Gianotti, L, Giuliani, A, Grazi, G, Gringeri, E, Griseri, G, Gruttadauria, S, Guglielmi, A, Izzo, F, Jovine, E, Lanza, E, Malleo, G, Manzini, L, Massani, M, Mazzaferro, V, Memeo, R, Minni, F, Morelli, L, Nappo, G, Nardo, B, Orlando, F, Partelli, S, Patriti, A, Patrone, R, Percivale, A, Piccolo, G, Ravaioli, M, Reggiani, P, Risaliti, M, Rocca, A, Romagnoli, R, Romano, F, Russolillo, N, Ruzzenente, A, Saladino, E, Salvia, R, Santambrogio, R, Tarchi, P, Troci, A, Troisi, R, Urbani, L, Veneroni, L, Vennarecci, G, Vigano, L, Viola, M, Vistoli, F, Vivarelli, M, Zanello, M, Zanus, G & Zerbi, A 2020, 'Perspectives from Italy during the COVID-19 pandemic: nationwide survey-based focus on minimally invasive HPB surgery', Updates in Surgery, vol. 72, pagg. 241-247. https://doi.org/10.1007/s13304-020-00815-5

TY - JOUR

T1 - Perspectives from Italy during the COVID-19 pandemic: nationwide survey-based focus on minimally invasive HPB surgery

AU - Aldrighetti, L.

AU - Boggi, U.

AU - Falconi, M.

AU - Giuliante, Felice

AU - Cipriani, F.

AU - Ratti, F.

AU - Torzilli, G.

AU - Abu Hilal, M.

AU - Andrianello, S.

AU - Anselmo, A.

AU - Ardito, Francesco

AU - Gian, L. B.

AU - Banchini, F.

AU - Barabino, M.

AU - Barberis, A.

AU - Bassi, C.

AU - Batignani, G.

AU - Battiston, C.

AU - Belli, A.

AU - Berti, S.

AU - Bianco, P.

AU - Brolese, A.

AU - Brozzetti, S.

AU - Butturini, G.

AU - Calise, F.

AU - Carabott, K.

AU - Capretti, G.

AU - Casadei, R.

AU - Cescon, M.

AU - Cesaretti, M.

AU - Cillo, U.

AU - Cinardi, N.

AU - Colledan, M.

AU - Coppola, A.

AU - Cotsoglou, C.

AU - Crippa, S.

AU - Bona, E. D.

AU - Valle, R. D.

AU - De Angelis, M.

AU - De Carlis, L.

AU - Di Benedetto, F.

AU - Di Sebastiano, P.

AU - Dova, L.

AU - Ercolani, G.

AU - Esposito, A.

AU - Giuseppe, M. E.

AU - Fabris, A.

AU - Ferrero, A.

AU - Frena, A.

AU - Frigerio, I.

AU - Gianotti, L.

AU - Giuliani, A.

AU - Grazi, G.

AU - Gringeri, E.

AU - Griseri, G.

AU - Gruttadauria, S.

AU - Guglielmi, A.

AU - Izzo, F.

AU - Jovine, E.

AU - Lanza, E.

AU - Malleo, G.

AU - Manzini, L.

AU - Massani, M.

AU - Mazzaferro, V.

AU - Memeo, R.

AU - Minni, F.

AU - Morelli, L.

AU - Nappo, G.

AU - Nardo, B.

AU - Orlando, F.

AU - Partelli, S.

AU - Patriti, A.

AU - Patrone, R.

AU - Percivale, A.

AU - Piccolo, G.

AU - Ravaioli, M.

AU - Reggiani, P.

AU - Risaliti, M.

AU - Rocca, A.

AU - Romagnoli, R.

AU - Romano, F.

AU - Russolillo, N.

AU - Ruzzenente, A.

AU - Saladino, E.

AU - Salvia, R.

AU - Santambrogio, R.

AU - Tarchi, P.

AU - Troci, A.

AU - Troisi, R.

AU - Urbani, L.

AU - Veneroni, L.

AU - Vennarecci, G.

AU - Vigano, L.

AU - Viola, M.

AU - Vistoli, F.

AU - Vivarelli, M.

AU - Zanello, M.

AU - Zanus, G.

AU - Zerbi, A.

PY - 2020

Y1 - 2020

N2 - The safety of minimally invasive procedures during COVID pandemic remains hotly debated, especially in a country, like Italy, where minimally invasive techniques have progressively and pervasively entered clinical practice, in both the hepatobiliary and pancreatic community. A nationwide snapshot of the management of HPB minimally invasive surgery activity during COVID-19 pandemic is provided: a survey was developed and conducted within AICEP (Italian Association of HepatoBilioPancreatic Surgeons) with the final aim of conveying the experience, knowledge, and opinions into a unitary report enabling more efficient crisis management. Results from the survey (81 respondents) show that, in Italian hospitals, minimally invasive surgery maintains its role despite the COVID-19 pandemic, with the registered reduction of cases being proportional to the overall reduction of the HPB surgical activity. Respondents agree that the switch from minimally invasive to open technique can be considered as a valid option for cases with a high technical complexity. Several issues merit specific attention: screening for virus positivity should be universally performed; only expert surgical teams should operate on positive patients and specific technical measures to lower the biological risk of contamination during surgery must be followed. Future studies specifically designed to establish the true risks in minimally invasive surgery are suggested. Furthermore, a standard and univocal process of prioritization of patients from Regional Healthcare Systems is advisable.

AB - The safety of minimally invasive procedures during COVID pandemic remains hotly debated, especially in a country, like Italy, where minimally invasive techniques have progressively and pervasively entered clinical practice, in both the hepatobiliary and pancreatic community. A nationwide snapshot of the management of HPB minimally invasive surgery activity during COVID-19 pandemic is provided: a survey was developed and conducted within AICEP (Italian Association of HepatoBilioPancreatic Surgeons) with the final aim of conveying the experience, knowledge, and opinions into a unitary report enabling more efficient crisis management. Results from the survey (81 respondents) show that, in Italian hospitals, minimally invasive surgery maintains its role despite the COVID-19 pandemic, with the registered reduction of cases being proportional to the overall reduction of the HPB surgical activity. Respondents agree that the switch from minimally invasive to open technique can be considered as a valid option for cases with a high technical complexity. Several issues merit specific attention: screening for virus positivity should be universally performed; only expert surgical teams should operate on positive patients and specific technical measures to lower the biological risk of contamination during surgery must be followed. Future studies specifically designed to establish the true risks in minimally invasive surgery are suggested. Furthermore, a standard and univocal process of prioritization of patients from Regional Healthcare Systems is advisable.

KW - Biliary Tract Diseases

KW - COVID-19

KW - Coronavirus Infections

KW - Health Care Surveys

KW - Humans

KW - Italy

KW - Liver

KW - Liver Diseases

KW - Minimally Invasive Surgical Procedures

KW - Minimally invasive

KW - Pancreas

KW - Pancreatic Diseases

KW - Pandemic

KW - Pandemics

KW - Pneumonia, Viral

KW - Biliary Tract Diseases

KW - COVID-19

KW - Coronavirus Infections

KW - Health Care Surveys

KW - Humans

KW - Italy

KW - Liver

KW - Liver Diseases

KW - Minimally Invasive Surgical Procedures

KW - Minimally invasive

KW - Pancreas

KW - Pancreatic Diseases

KW - Pandemic

KW - Pandemics

KW - Pneumonia, Viral

UR - http://hdl.handle.net/10807/178175

U2 - 10.1007/s13304-020-00815-5

DO - 10.1007/s13304-020-00815-5

M3 - Article

SN - 2038-131X

VL - 72

SP - 241

EP - 247

JO - Updates in Surgery

JF - Updates in Surgery

ER -

Perspectives from Italy during the COVID-19 pandemic: nationwide survey-based focus on minimally invasive HPB surgery

Abstract

Keywords

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