GKT School of Medical Education, King's College London, United Kingdom.
GKT School of Medical Education, King's College London, United Kingdom.
Int J Surg. 2020 Jul;79:168-179. doi: 10.1016/j.ijsu.2020.05.022. Epub 2020 May 12.
The Coronavirus (COVID-19) pandemic has resulted in over 4.5 million confirmed cases and over 300,000 deaths. The impact of COVID-19 on surgical practice is widespread, ranging from workforce and staffing issues, procedural prioritisation, viral transmission risk intraoperatively, changes to perioperative practice and ways of working alongside the impact on surgical education and training. Whilst there has been a growing literature base describing the early clinical course of COVID-19 and on aspects of critical care related to treating these patients, there has been a dearth of evidence on how this pandemic will affect surgical practice. This paper seeks to review the current evidence and offers recommendations for changes to surgical practice to minimise the effect of the COVID-19 pandemic.
冠状病毒（COVID-19）大流行已导致超过 450 万例确诊病例和超过 30 万人死亡。COVID-19 对手术实践的影响广泛，包括劳动力和人员配备问题、程序优先级、手术过程中的病毒传播风险、围手术期实践的变化以及与手术教育和培训相关的工作方式。虽然已经有越来越多的文献描述了 COVID-19 的早期临床过程以及与治疗这些患者相关的重症监护方面，但关于这场大流行将如何影响手术实践的证据却很少。本文旨在回顾当前的证据，并提出改变手术实践的建议，以尽量减少 COVID-19 大流行的影响。
