Liu Zheng, Ding Zhao, Guan Xu, Zhang Yawei, Wang Xishan, Khan Jim S
Department of Colorectal Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100021, China.
Department of Colorectal & Anal Surgery, Zhongnan Hospital of Wuhan University, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Wuhan, Hubei Province, 430071, China.
Int J Surg. 2020 Jun;78:156-159. doi: 10.1016/j.ijsu.2020.04.062. Epub 2020 May 4.
Key messages: • Triage strategies to keep suspected and confirmed cases in isolation. • Virtual consultations and limiting all out patient activity. • Screening asymptomatic patients with nucleic acid test, antibody testing & CT chest. • Designated staff and operating areas for COVID 19 infected patients. • Careful use of laparoscopy with precautions. • Limited operating on cancer patients with consideration of alternatives treatment strategies. • Precautions and protocol for surgical management are needed after the epidemic.
采用分诊策略,对疑似病例和确诊病例进行隔离。
开展虚拟会诊并限制所有门诊活动。
对无症状患者进行核酸检测、抗体检测及胸部CT筛查。
为新冠病毒感染患者指定工作人员和操作区域。
谨慎使用腹腔镜并采取预防措施。
考虑替代治疗策略,限制癌症患者的手术。
疫情过后,手术管理需要预防措施和方案。