File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Novel approach to reduce SARS-CoV-2 transmission during trans-oral robotic surgery

TitleNovel approach to reduce SARS-CoV-2 transmission during trans-oral robotic surgery
Authors
KeywordsTrans-oral robotic surgery
Head and neck cancer
COVID-19
SARS-CoV-2 transmission
Novel approach
Issue Date2021
PublisherSpringer-Verlag London Ltd. The Journal's web site is located at http://www.springer.com/journal/11701
Citation
Journal of Robotic Surgery, 2021, Epub 2021-02-06 How to Cite?
AbstractThis study describes a novel approach in the reduction of SARS-CoV-2 transmission during trans-oral robotic surgery (TORS). Eight patients underwent TORS between 01 February 2020 and 07 September 2020. A sterile plastic sheet draped over sterile supports with water-tight seal around each cannula was used to create a sterile working space within which the robotic arms could freely move during operation. This set-up acts as an additional physical barrier against droplet and aerosol transmission. Operative diagnosis; droplet count and distribution on plastic sheet and face shields of console and assistant surgeons, and scrub nurse were documented. TORS tumour excision was performed for patients with suspected tonsillar tumour (n = 3) and tongue base tumour (n = 2). TORS tonsillectomy and tongue base mucosectomy was performed for cervical nodal metastatic carcinoma of unknown origin (n = 3). Droplet contamination was noted on all plastic drapes (n = 8). Droplet contamination was most severe over the central surface at 97.2% (91.7–100.0%), with the highest droplet count along the centre-most column where it overlies the site of operation in the oral cavity 33.3% (n = 31). Droplet count decreased towards the periphery. Contamination rate was 2.8% (0.0–8.3%) over the right lateral surface. There was no droplet contamination over the vertex and left lateral surface of plastic drapes. No droplet contamination was noted on face shields of all parties. The use of sterile plastic drapes with water-tight seal around each robotic cannula can help reduce viral transmission to healthcare providers during TORS.
Persistent Identifierhttp://hdl.handle.net/10722/295796
ISSN
2023 Impact Factor: 2.2
2023 SCImago Journal Rankings: 0.661
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChow, VLY-
dc.contributor.authorChan, JYW-
dc.contributor.authorWong, MMK-
dc.contributor.authorWong, STS-
dc.contributor.authorTsang, RKY-
dc.date.accessioned2021-02-08T08:14:08Z-
dc.date.available2021-02-08T08:14:08Z-
dc.date.issued2021-
dc.identifier.citationJournal of Robotic Surgery, 2021, Epub 2021-02-06-
dc.identifier.issn1863-2483-
dc.identifier.urihttp://hdl.handle.net/10722/295796-
dc.description.abstractThis study describes a novel approach in the reduction of SARS-CoV-2 transmission during trans-oral robotic surgery (TORS). Eight patients underwent TORS between 01 February 2020 and 07 September 2020. A sterile plastic sheet draped over sterile supports with water-tight seal around each cannula was used to create a sterile working space within which the robotic arms could freely move during operation. This set-up acts as an additional physical barrier against droplet and aerosol transmission. Operative diagnosis; droplet count and distribution on plastic sheet and face shields of console and assistant surgeons, and scrub nurse were documented. TORS tumour excision was performed for patients with suspected tonsillar tumour (n = 3) and tongue base tumour (n = 2). TORS tonsillectomy and tongue base mucosectomy was performed for cervical nodal metastatic carcinoma of unknown origin (n = 3). Droplet contamination was noted on all plastic drapes (n = 8). Droplet contamination was most severe over the central surface at 97.2% (91.7–100.0%), with the highest droplet count along the centre-most column where it overlies the site of operation in the oral cavity 33.3% (n = 31). Droplet count decreased towards the periphery. Contamination rate was 2.8% (0.0–8.3%) over the right lateral surface. There was no droplet contamination over the vertex and left lateral surface of plastic drapes. No droplet contamination was noted on face shields of all parties. The use of sterile plastic drapes with water-tight seal around each robotic cannula can help reduce viral transmission to healthcare providers during TORS.-
dc.languageeng-
dc.publisherSpringer-Verlag London Ltd. The Journal's web site is located at http://www.springer.com/journal/11701-
dc.relation.ispartofJournal of Robotic Surgery-
dc.rightsThis is a post-peer-review, pre-copyedit version of an article published in [insert journal title]. The final authenticated version is available online at: https://doi.org/[insert DOI]-
dc.subjectTrans-oral robotic surgery-
dc.subjectHead and neck cancer-
dc.subjectCOVID-19-
dc.subjectSARS-CoV-2 transmission-
dc.subjectNovel approach-
dc.titleNovel approach to reduce SARS-CoV-2 transmission during trans-oral robotic surgery-
dc.typeArticle-
dc.identifier.emailChow, VLY: chowlyv@hku.hk-
dc.identifier.emailChan, JYW: jywchan1@hku.hk-
dc.identifier.emailWong, STS: wongtsa@hkucc.hku.hk-
dc.identifier.emailTsang, RKY: rkytsang@hku.hk-
dc.identifier.authorityChan, JYW=rp01314-
dc.identifier.authorityWong, STS=rp00478-
dc.identifier.authorityTsang, RKY=rp01386-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1007/s11701-021-01200-z-
dc.identifier.pmid33547981-
dc.identifier.pmcidPMC7866962-
dc.identifier.scopuseid_2-s2.0-85100610810-
dc.identifier.hkuros321234-
dc.identifier.hkuros321940-
dc.identifier.volumeEpub 2021-02-06-
dc.identifier.isiWOS:000615539900001-
dc.publisher.placeUnited Kingdom-
dc.identifier.issnl1863-2483-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats