Table 7.

Surgical approach

Surgical approach should be dictated by best-practice accounting for reduced operative times and optimal surgical outcomes

The surgical procedure must be performed preferentially by an experienced surgeon. Avoiding using such cases for teaching purposes is highly advisable

In certain circumstances, alternatives to conventional surgical procedures may be considered depending on the clinical status of the patient

For cases performed laparoscopically, smoke evacuator attached to a HEPA filtration device must be used during the case and at the end of the case to facilitate release of pneumoperitoneum [12]

Smoke evacuators/filtration device should be used in all cases requiring electrocautery, laser, or ultrasonic scalpels, to limit exposure to aerosols [13–16]

The Neptune System, where available, may be utilized to permit a closed suction system, if available

All efforts should be made to limit the use of electrocautery, laser or ultrasonic scalpel to cases where non-aerosolizing techniques are available and confer acceptable outcomes