Laparoscopic or robotic intraoperative management to minimize aerosol dispersion: Adaptations to the context of the COVID-19 pandemic/ Manejo intraoperatorio em cirurgia laparoscopica ou robotica para minimizar a dispersao de aerossois: Adaptacoes ao

The coronavirus infection, also known as SARS-COV2, has proven to be potentially fatal, representing a major global health problem Its spread after its origin in the city of Wuhan, China has resulted in a pandemic with the collapse of the health system in several countries, some with enormous social impact and expressive number of deaths as seen in Italy and Spain Extreme intra and extra-hospital measures have been implemented to decrease the transmission and dissemination of the COVID-19 Regarding the surgical practice, a huge number of procedures considered non-essential or elective were cancelled and postponed until the pandemic is resolved However, urgent and oncological procedures have been carried out In this publication, we highlight and teach adaptations to be made with commonly used materials in laparoscopy to help prevent the spread and contamination of the healthcare team assisting surgical patients A infeccao pelo coronavirus determinante da doenca COVID-19, tambem conhecida como SARS-COV2 foi classificada nos ultimos meses como pandemia Essa e potencialmente fatal, representando enorme problema de saude mundial A disseminacao, apos provavel origem zoonotica na cidade de Wuhan, China, resultou em colapso do sistema de saude de diversos paises, alguns com enorme impacto social e numero grande de mortes descritas na Italia e Espanha Medidas extremas intra e extra-hospitalares tem sido implementadas a fim de conter a transmissao e disseminacao da COVID-19 No ambito cirurgico, enorme quantidade de procedimentos considerados nao essenciais ou eletivos foram prorrogados ou suspensos ate resolucao da pandemia No entanto, cirurgias de urgencia e oncologicas nao permitem que o paciente espere Nesta publicacao, sugerimos e ensinamos adaptacao a ser feita com materiais de uso corriqueiro em laparoscopias para evitar a contaminacao ou a disseminacao entre as equipes assistenciais e os pacientes