Yu G Y, Lou Z, Zhang W
Department of Colorectal, Changhai Hospital, Naval Medical University. Shanghai 200433, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Feb 19;23(3):9-11. doi: 10.3760/cma.j.issn.1671-0274.2020.03.002.
Pneumonia caused by SARS-Cov-2 infection has been reported in Wuhan since December 2019, and spread rapidly across the country. The radical operation of colorectal cancer is confine operation. Patients with colorectal cancer should receive operation as soon as possible after elective operation is resumed in each hospital. SARS-Cov-2 virus can be transmitted by asymptomatic infectors, and it has been confirmed to be transmitted by droplets and contact. However, fecal-oral transmission and aerosol transmission have not been excluded. Based onLaparoscopic colorectal operation experiences, the author suggests that the surgery strategy for colorectal cancer patients under the COVID-19 situation. Recommending laparoscopy-assisted radical surgery for colorectal cancer patients. The aerosols need to be strictly managed during operation. NOSES and TaTME should be carried out with cautious during the epidemic period. Protective stoma should be carried out scientifically and reasonably, and the protection of operating room personnel should be strengthened.
自2019年12月以来,武汉已报告了由SARS-CoV-2感染引起的肺炎,并迅速在全国传播。结直肠癌的根治性手术是限期手术。各医院恢复择期手术后,结直肠癌患者应尽快接受手术。SARS-CoV-2病毒可通过无症状感染者传播,现已证实可通过飞沫和接触传播。然而,粪口传播和气溶胶传播尚未排除。基于腹腔镜结直肠手术经验,作者提出了COVID-19情况下结直肠癌患者的手术策略。建议对结直肠癌患者行腹腔镜辅助根治性手术。术中需严格管理气溶胶。疫情期间应谨慎开展经自然腔道取标本手术(NOSES)和经肛全直肠系膜切除术(TaTME)。应科学合理地实施保护性造口,并加强对手术室人员的防护。