Tateno Yuki, Harada Kimito, Okamoto Fumiki, Katsuragawa Hideo
Department of Surgery, Tama-nambu Regional Hospital, 2-1-2, Nakazawa, Tama, Tokyo, Japan.
J Med Case Rep. 2021 May 18;15(1):275. doi: 10.1186/s13256-021-02877-4.
According to previous reports, surgery is not recommended until at least 4 weeks after the symptoms of coronavirus disease 2019 resolve. However, strong evidence has not been established regarding the optimal timing and preoperative examination for elective laparoscopic colectomy for colorectal cancer in individuals with a previous coronavirus disease 2019 infection.
A 63-year-old Asian man underwent elective laparoscopic colectomy for sigmoid colon cancer 3 weeks after asymptomatic coronavirus disease 2019. The postoperative course was good, and none of the surgical staff was infected with coronavirus disease 2019.
In this patient infected with coronavirus disease 2019 within 4 weeks of surgery, preoperative venous ultrasound of the lower extremities and a chest computed tomography scan were useful examinations for ensuring a safe surgical procedure for the patient and the staff. Surgery within 4 weeks may be possible with careful selection of cases based on thorough preoperative examination. This report may contribute to the development of a consensus on performing safe elective colectomy for colon cancer in persons previously infected with coronavirus disease 2019.
根据先前的报告，在2019冠状病毒病症状消失至少4周后才建议进行手术。然而，对于曾感染2019冠状病毒病的个体，择期腹腔镜结肠切除术的最佳时机和术前检查尚未有确凿证据。
一名63岁的亚洲男性在无症状感染2019冠状病毒病3周后接受了择期腹腔镜乙状结肠癌切除术。术后恢复良好，手术人员均未感染2019冠状病毒病。
对于在手术前4周内感染2019冠状病毒病的该患者，术前下肢静脉超声检查和胸部计算机断层扫描有助于确保患者和手术人员的手术安全。基于全面的术前检查仔细选择病例，4周内进行手术是可行的。本报告可能有助于就曾感染2019冠状病毒病的患者安全进行择期结肠癌切除术达成共识。
