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[COVID-19大流行期间癌症患者的外科治疗]

[Surgical management of cancer patients within the COVID-19 pandemic].

作者信息

Kaprin A D, Fedenko A A, Polyakov A A, Polyakov A P

机构信息

Herzen Moscow Oncology Research Institute - Branch of the National Medical Radiology Research Center, Moscow, Russia.

出版信息

Khirurgiia (Mosk). 2020(12):5-15. doi: 10.17116/hirurgia20201215.

Abstract

OBJECTIVE

A systematic review of the world literature data on surgical management and preoperative screening of cancer patients within the COVID-19 pandemic, as well as prevention of SARS-CoV-2 transmission and resumption of elective surgery.

MATERIAL AND METHODS

Literature data searching included Pubmed, MedLine, Scopus, Web of Science, and RSCI databases. We enrolled literature data published for the period from March 2020 to June 2020.

RESULTS

Retrospective and prospective clinical trials have been analyzed. The review ensures up-to-date data on surgical management of cancer patients under the pandemic, recommendations for resuming the elective surgery, preoperative screening and prevention of COVID-19.

CONCLUSION

To date, the COVID-19 pandemic is still not resolved, and infection continues spreading around the world. Thus, there is an urgent need for more thorough research of the strategies for mitigating the effects of pandemic. To date, the recommendations for optimal surgical management of cancer patients within the pandemic are still actively developed considering the benefits of treatment and risks of SARS-CoV-2 infection. Resumption of elective surgery should be progressive and cautious, especially in pandemic areas. For safety reasons, all patients eligible for surgical treatment should be carefully selected according to stratification of risk factors. Thorough preoperative screening, monitoring of symptoms of infection, and use of appropriate adapted personal protective equipment are extremely important.

摘要

目的

系统回顾关于2019冠状病毒病大流行期间癌症患者手术管理和术前筛查,以及预防严重急性呼吸综合征冠状病毒2传播和恢复择期手术的世界文献数据。

材料与方法

文献数据检索包括PubMed、MedLine、Scopus、科学网和俄罗斯科学引文索引数据库。我们纳入了2020年3月至2020年6月期间发表的文献数据。

结果

对回顾性和前瞻性临床试验进行了分析。该综述提供了关于大流行期间癌症患者手术管理的最新数据、恢复择期手术的建议、术前筛查和预防2019冠状病毒病的建议。

结论

迄今为止,2019冠状病毒病大流行仍未得到解决,感染在全球持续蔓延。因此,迫切需要更深入地研究减轻大流行影响的策略。迄今为止,考虑到治疗益处和严重急性呼吸综合征冠状病毒2感染风险,仍在积极制定大流行期间癌症患者最佳手术管理的建议。择期手术的恢复应循序渐进且谨慎,尤其是在大流行地区。出于安全考虑,所有适合手术治疗的患者应根据风险因素分层进行仔细挑选。全面的术前筛查、感染症状监测以及使用适当适配的个人防护设备极为重要。

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