I am a general surgeon from Peru. Here we are on the fifth day of quarantine. We have 269 cases and 4 deaths so far. I want to know how they are handling the issue of laparoscopic surgery, there is a lot of talk here about going back to open surgery in the emergency room because health personnel do not have personal protective equipment and there is much fear of aerosolization. Is it advisable to do open surgery if we do not have PPE? I understand that the anesthetist can be infected at the time of intubation if he does not have PPE, our operating rooms do have a negative pressure aspiration system, but we do not have PPE, only N95 masks and our conventional clothes to operate. I would be very grateful if you give me a suggestion to transmit it in Peru. / 我是一名秘鲁的普通外科医生。这是秘鲁实施隔 离的第五天，截止目前，秘鲁出现269例感染者，4例死亡。我想知道你们是如何操作腹腔镜手 术的,这里关于在急诊室重开外科手术的说法有 很多，因为我们的医护人员没有个人防护装备, 并且很害怕雾化 .在没有个人防护装备(EPI)的情况下，推荐进行开腹手术吗?我知道如果麻 醉师没有EPI，在插管时可能会被感染，我们的手术室确实有负压呼吸系统，但是我们没有EPI，只有N95口罩和进行手术的常规手术服。 如果诸位可以给我建议以便传达到国内，我将不胜感激。