Background: Laparoscopic surgery is a very modern and sophisticated method of surgical treatment and as such requires different equipment, different equipment layout, surgical team and a special patient position. The first human laparoscopy was performed by von Jacobeus in 1910 in Sweden, to diagnose ascites and this method was mainly used by gastroenterologists. Since 1980, after the first laparoscopic surgeries, such as laparoscopic appendectomy, cholecystectomy, laparoscopic colon surgery etc., surgeons have taken a leading role in the application of laparoscopy. Objective: A laparoscopic surgeon should work slowly and safely, stop work if he does not have a good examination of the operative field, and his technique is dominated by good control of hemostasis. Ergonomic specifics of instruments, equipment, and specific position of the surgeon during the operation are important in laparoscopy. The application of laparoscopic surgery in patients with COVID-19 infection is the topic of this article. Methods: We analyzed all patients operating laparoscopically who were simultaneously infected with COVID-19 virus. Results/Diskussion: Laparoscopic surgery has numerous advantages compared to open surgery, which has been established in clinical studies: faster recovery of patients, fewer complications, less pain, aesthetic results are better, and the economic effects are on the side of laparoscopy. The application of laparoscopic surgery at the time of COVID-19 infection requires some answers that we do not yet have. Is there a possibility of contamination of the surgical team with gas from the abdomen? Does increased intra-abdominal pressure adversely affect a COVID-19 infected patient? All of this requires the larger clinical trials that await us. Conclusion: Laparoscopic surgery has an advantage over open surgery in standard conditions. In patients infected with COVID-19, the use of laparoscopic surgery is associated with certain aggravating factors that require additional clinical trials.
Key words: Laparoscopic surgery, technique, ergonomics, COVID-19 infection.
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