Shirabe Ken, Araki Kenichiro
Division of Hepato-Biliary and Pancreatic Surgery, Dept. of General Surgical Science, Graduate School of Medicine, Gunma University.
Gan To Kagaku Ryoho. 2020 Dec;47(12):1668-1671.
The standard therapy for cancer should be basically performed on time. Nevertheless, COVID-19 pandemic has extensively affected cancer therapy in Japan. Under COVID-19 pandemic, medical resources in each hospital, incidence of infection in the community, and type and stage of cancer diseases, should totally be considered in performance of operation for cancer. Actually, in more than 40% of hospitals, cancer surgery was restricted, according to questionnaire survey, held by the Japanese Society of Gastroenterological Surgery. And also surgery for pancreatic, colorectal, esophageal and gastric cancer had preferred to other surgery. Generally, surgery for aggressive cancer, lacking in alternative therapy should be preferred. On the other hand, because the infection status in the community could rapidly change, policy for operation should be frequently reviewed.
癌症的标准治疗原则上应按时进行。然而，新冠疫情对日本的癌症治疗产生了广泛影响。在新冠疫情期间，进行癌症手术时应综合考虑各医院的医疗资源、社区感染发生率以及癌症疾病的类型和分期。实际上，根据日本胃肠外科学会进行的问卷调查，超过40%的医院限制了癌症手术。此外，胰腺癌、结直肠癌、食管癌和胃癌的手术比其他手术更受青睐。一般来说，对于缺乏替代治疗方法的侵袭性癌症，应优先进行手术。另一方面，由于社区的感染状况可能迅速变化，手术政策应经常进行审查。
