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7002620 
Journal Article 
Review 
COVID-19: clinical issues from the Japan Surgical Society 
Mori, M; Yamada, Y; Kuroda, T; Yuzawa, K; Hibi, T; Nagano, H; Unno, M; Kitagawa, Y; Ikeda, N; Taketomi, A; Asahi, Yo; Takesue, Y; Orimo, T; Ono, M; Kuwayama, T; Nakamura, S; , 
2020 
1 
Surgery Today
ISSN: 0941-1291
EISSN: 1436-2813 
SPRINGER 
NEW YORK 
50 
8 
794-808 
English 
32651686 
WOS:000547204300001 
In this unprecedented COVID-19 pandemic, several key issues must be addressed to ensure safe treatment and prevent rapid spread of the virus and a consequential medical crisis. Careful evaluation of a patient's condition is crucial for deciding the triage plan, based on the status of the disease and comorbidities. As functionality of the medical care system is greatly affected by the environmental situation, the treatment may differ according to the medical and infectious disease circumstances of the institution. Importantly, all medical staff must prevent nosocomial COVID-19 by minimizing the effects of aerosol spread and developing diagnostic and surgical procedures. Polymerase chain reaction (PCR) screening for COVID-19 infection, particularly in asymptomatic patients, should be encouraged as these patients are prone to postoperative respiratory failure. In this article, the Japan Surgical Society addresses the general principles of surgical treatment in relation to COVID-19 infection and advocates preventive measures against viral transmission during this unimaginable COVID-19 pandemic.