Ann Ital Chir. 2021;92:323-329.
The aim of this study is to point out the changes and possible delay in diagnosis or treatment of malignancies and an added risk of COVID-19 exposure emerging from these interventions, as well as to underline the increase of surgical demand once the pandemic measures are eased.
This study is a retrospective review of the patients operated between 11.03.2020 and 31.05.2020 in a center with a high incidence of COVID-19 infection during the pandemic. The numbers of emergency, elective and oncological surgeries as well as the increasing or decreasing trends of these interventions between March 11 and May 31 of previous years were compared with the corresponding period of 2020 or in other words the pandemic period.
From March 11 to May 31, 2020 there was a progressive reduction in surgical activity, with only 195 operations: 61(31,28%) on a scheduled basis for tumor pathology, 59(30,25%) for benign pathology and 75(38,46%) for emergency indications. When the surgical trends of previous years are considered, all types of oncological surgeries decreased significantly in pandemic period March 11 to May 31, 2020.
One of the most striking changes in medical care settings during the COVID-19 pandemic was observed in surgical management strategies. The most significant among these were the limitation of elective surgical procedures and the prioritization of emergency or non-delayed oncological operations. One may speculate that the standstill of elective surgeries including the oncological surgeries might have long term impacts on the clinical outcomes of patients as well as the healthcare workers and organizations.
COVID-19, Emergency, Oncology, Pathology, SARS-CoV-2, Surgery.
本研究旨在指出这些干预措施导致的恶性肿瘤诊断或治疗的变化和可能延迟，以及 COVID-19 暴露的风险增加，并强调一旦大流行措施放宽，手术需求的增加。
这是一项对大流行期间 COVID-19 感染高发中心于 2020 年 3 月 11 日至 5 月 31 日期间进行的手术患者进行回顾性分析的研究。比较了 2020 年同期或大流行期间与前几年 3 月 11 日至 5 月 31 日之间的急诊、择期和肿瘤手术数量，以及这些干预措施的增加或减少趋势。
2020 年 3 月 11 日至 5 月 31 日，手术活动逐渐减少，仅进行了 195 例手术：61 例（31.28%）为肿瘤病理的计划性手术，59 例（30.25%）为良性病理，75 例（38.46%）为急诊指征。考虑到前几年的手术趋势，2020 年 3 月 11 日至 5 月 31 日大流行期间，所有类型的肿瘤手术均显著减少。
在 COVID-19 大流行期间，医疗保健环境中观察到的一个最显著的变化是手术管理策略的变化。其中最重要的是限制择期手术和优先考虑急诊或非延迟性肿瘤手术。人们可能会推测，包括肿瘤手术在内的择期手术的停滞可能会对患者以及医疗保健工作者和组织的临床结果产生长期影响。
COVID-19、急诊、肿瘤学、病理学、SARS-CoV-2、手术。
