The clinical impact of <scp>COVID</scp>‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database-Reference-Cited by-同舟云学术

The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database

Published:2023-02-15 Issue:4 Volume:7 Page:572-582
ISSN:2475-0328
Container-title:Annals of Gastroenterological Surgery
language:en
Short-container-title:Annals of Gastroent Surgery

Author:

Shiroshita Hidefumi¹²^ORCID,Endo Hideki³,Inomata Masafumi¹²,Akagi Tomonori¹²^ORCID,Yamamoto Hiroyuki³^ORCID,Yamaguchi Shigeki¹⁴^ORCID,Eguchi Susumu¹⁵^ORCID,Wada Norihito¹⁶,Kurokawa Yukinori¹⁷^ORCID,Seki Yosuke¹⁸,Sakai Yoshiharu¹⁹,Miyata Hiroaki³,Kakeji Yoshihiro¹⁰^ORCID,Kitagawa Yuko¹¹,Taketomi Akinobu¹²,Mori Masaki¹³

Affiliation:

1. Academic Committee of Japan Society for Endoscopic Surgery Tokyo Japan

2. Department of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine Oita Japan

3. Department of Healthcare Quality Assessment, Graduate School of Medicine The University of Tokyo Tokyo Japan

4. Division of Colorectal Surgery, Department of Surgery Tokyo Women's Medical University Tokyo Japan

5. Department of Surgery Nagasaki University Graduate School of Biomedical Sciences Nagasaki Japan

6. Department of Surgery Shonan Keiiku Hospital Fujisawa Kanagawa Japan

7. Department of Gastroenterological Surgery Osaka University Graduate School of Medicine Osaka Japan

8. Weight Loss and Metabolic Surgery Center Yotsuya Medical Cube Tokyo Japan

9. Japanese Red Cross Osaka Hospital Osaka Japan

10. Division of Gastrointestinal Surgery, Department of Surgery Kobe University Graduate School of Medicine Kobe Hyogo Japan

11. Department of Surgery Keio University School of Medicine Tokyo Japan

12. Department of Gastroenterological Surgery I Hokkaido University Graduate School of Medicine Sapporo Hokkaido Japan

13. The Japan Surgical Society Tokyo Japan

Abstract

AbstractAimThis study aimed to evaluate the impact of the coronavirus disease (COVID‐19) pandemic on elective endoscopic surgeries in Japan using the National Clinical Database.MethodsWe 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.ResultsIn 2020, the number of LCs (except for acute cholecystitis) was 76 079 (93.0% of that in 2019), the number of LDGs was 14 271 (85.9% of that in 2019), and the number of LLARs was 19 570 (88.1% of that in 2019). Although the number of robot‐assisted 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.ConclusionThe number of endoscopic surgeries decreased in 2020 as a result of the COVID‐19 pandemic. However, the procedures were performed safely in Japan.

Publisher

Wiley

Subject

Gastroenterology,Surgery

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ags3.12660

Reference22 articles.

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4. Society of American Gastrointestinal and Endoscopic Surgeons. Surgical response to COVID‐19 crisis At:SAGES and EAES Recommendations Regarding Surgical Response to COVID‐19 Crisis ‐ SAGES[Published 30 Mar 2020; cited 27 Oct 2020].

5. Royal College of Surgeons of England. Guidance for surgeons working during the pandemic at:Updated Intercollegiate General Surgery Guidance on COVID‐19 — Royal College of Surgeons(rcseng.ac.uk)[Published 26 Mar 2020; cited 27 Oct 2020].

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1. Investigation of the impact of COVID‐19 on postoperative outcomes using a nationwide Japanese database of patients undergoing laparoscopic distal gastrectomy and low anterior resection for gastric cancer and rectal cancer;Annals of Gastroenterological Surgery;2024-01-28