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The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database
AIM: This study aimed to evaluate the impact of the coronavirus disease (COVID‐19) pandemic on elective endoscopic surgeries in Japan using the National Clinical Database. METHODS: We retrospectively analyzed the clinicopathological factors and surgical outcomes of laparoscopic cholecystectomy (LC),...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319603/ https://www.ncbi.nlm.nih.gov/pubmed/37416738 http://dx.doi.org/10.1002/ags3.12660 |
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author | Shiroshita, Hidefumi Endo, Hideki Inomata, Masafumi Akagi, Tomonori Yamamoto, Hiroyuki Yamaguchi, Shigeki Eguchi, Susumu Wada, Norihito Kurokawa, Yukinori Seki, Yosuke Sakai, Yoshiharu Miyata, Hiroaki Kakeji, Yoshihiro Kitagawa, Yuko Taketomi, Akinobu Mori, Masaki |
author_facet | Shiroshita, Hidefumi Endo, Hideki Inomata, Masafumi Akagi, Tomonori Yamamoto, Hiroyuki Yamaguchi, Shigeki Eguchi, Susumu Wada, Norihito Kurokawa, Yukinori Seki, Yosuke Sakai, Yoshiharu Miyata, Hiroaki Kakeji, Yoshihiro Kitagawa, Yuko Taketomi, Akinobu Mori, Masaki |
author_sort | Shiroshita, Hidefumi |
collection | PubMed |
description | AIM: This study aimed to evaluate the impact of the coronavirus disease (COVID‐19) pandemic on elective endoscopic surgeries in Japan using the National Clinical Database. METHODS: We 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. RESULTS: In 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. CONCLUSION: The number of endoscopic surgeries decreased in 2020 as a result of the COVID‐19 pandemic. However, the procedures were performed safely in Japan. |
format | Online Article Text |
id | pubmed-10319603 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103196032023-07-06 The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database Shiroshita, Hidefumi Endo, Hideki Inomata, Masafumi Akagi, Tomonori Yamamoto, Hiroyuki Yamaguchi, Shigeki Eguchi, Susumu Wada, Norihito Kurokawa, Yukinori Seki, Yosuke Sakai, Yoshiharu Miyata, Hiroaki Kakeji, Yoshihiro Kitagawa, Yuko Taketomi, Akinobu Mori, Masaki Ann Gastroenterol Surg Original Article AIM: This study aimed to evaluate the impact of the coronavirus disease (COVID‐19) pandemic on elective endoscopic surgeries in Japan using the National Clinical Database. METHODS: We 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. RESULTS: In 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. CONCLUSION: The number of endoscopic surgeries decreased in 2020 as a result of the COVID‐19 pandemic. However, the procedures were performed safely in Japan. John Wiley and Sons Inc. 2023-02-15 /pmc/articles/PMC10319603/ /pubmed/37416738 http://dx.doi.org/10.1002/ags3.12660 Text en © 2023 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Article Shiroshita, Hidefumi Endo, Hideki Inomata, Masafumi Akagi, Tomonori Yamamoto, Hiroyuki Yamaguchi, Shigeki Eguchi, Susumu Wada, Norihito Kurokawa, Yukinori Seki, Yosuke Sakai, Yoshiharu Miyata, Hiroaki Kakeji, Yoshihiro Kitagawa, Yuko Taketomi, Akinobu Mori, Masaki The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database |
title | The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database |
title_full | The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database |
title_fullStr | The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database |
title_full_unstemmed | The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database |
title_short | The clinical impact of COVID‐19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database |
title_sort | clinical impact of covid‐19 on endoscopic surgery in japan: analysis of data from the national clinical database |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319603/ https://www.ncbi.nlm.nih.gov/pubmed/37416738 http://dx.doi.org/10.1002/ags3.12660 |
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