General and Oncologic Surgery, IRCCS Ospedale Policlinico San Martino, Genoa, Italy;
Breast Surgery Clinic, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
In Vivo. 2021 Mar-Apr;35(2):1299-1305. doi: 10.21873/invivo.12382.
BACKGROUND/AIM: A notable re-allocation of healthcare resources and specific clinical and organizational measures have been required to prevent COVID-19 infection among hospitalized patients and healthcare workers.
From March 9th to May 9th 2020 we performed colorectal cancer elective surgery on 25 patients: a pre-hospital screening was carried out in order to avoid hospitalization of patients suspected of COVID-19 infection.
All patients (median age=76 years; range=37-88 years) were considered suitable for admission after telephone triage; the median interval between primary diagnosis and hospital admission was 23.1 days (range=1-55 days). The median hospitalization was 7.8 days (range=4-18 days). One COVID-19-associated death was reported.
Our experience demonstrates that safe colorectal cancer elective surgery can be performed during the pandemic COVID-19. Further consensus and guidelines to prevent diffusion of pandemic diseases among hospitalized patients and healthcare workers still need to be implemented.
背景/目的：为了防止住院患者和医护人员感染 COVID-19，需要对医疗资源进行显著重新分配，并采取具体的临床和组织措施。
2020 年 3 月 9 日至 5 月 9 日，我们对 25 例结肠癌择期手术患者进行了治疗：为了避免 COVID-19 感染疑似患者住院，我们进行了术前筛查。
所有患者（中位年龄=76 岁；范围=37-88 岁）在电话分诊后均被认为适合住院；从初次诊断到住院的中位间隔时间为 23.1 天（范围=1-55 天）。中位住院时间为 7.8 天（范围=4-18 天）。报告了 1 例与 COVID-19 相关的死亡。
我们的经验表明，在 COVID-19 大流行期间可以进行安全的结肠癌择期手术。仍需要进一步制定共识和指南，以防止传染病在住院患者和医护人员中的传播。
