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COVID-19 大流行对结直肠癌急诊手术的影响。

The Consequences of the COVID-19 Pandemic on Emergency Surgery for Colorectal Cancer.

机构信息

First Discipline of Surgery, Department X-Surgery, "Victor Babes" University of Medicine and Pharmacy, 2 E. Murgu Sq., 300041 Timisoara, Romania.

First Surgery Clinic, "Pius Brinzeu" Clinical Emergency Hospital, 300723 Timisoara, Romania.

出版信息

Int J Environ Res Public Health. 2023 Jan 23;20(3):2093. doi: 10.3390/ijerph20032093.

Abstract

The aim of this study is to analyze the impact of the COVID-19 pandemic on the emergency treatment of patients with colorectal cancer in a university surgery clinic. Data from patients undergoing emergency surgery during the pandemic period (2020-2021) was taken into consideration and the results were analyzed and compared with the periods 2016-2017 and 2018-2019. A significant decrease in the number of patients undergoing emergency surgery was reported ( = 0.028). The proportion of patients who presented more severe symptoms at the hospital was significantly higher ( = 0.007). There was an increase in the average duration of surgical interventions compared to pre-pandemic periods ( = 0.021). An increase in the percentage of stomas performed during the pandemic was reported. The average duration of postoperative hospitalization was shorter during the pandemic. A postoperative mortality of 25.7% was highlighted. Conclusions: The pandemic generated by COVID-19 had significant consequences on the emergency treatment of patients with colon cancer. A smaller number of patients showed up at the hospital, and with more severe symptoms. In order to reduce the risk of infection with SARS-CoV-2 virus, the postoperative hospitalization period was shortened and a higher number of protective stomas were performed.

摘要

本研究旨在分析 COVID-19 大流行对大学外科诊所中结直肠癌患者急诊治疗的影响。分析了大流行期间(2020-2021 年)接受急诊手术的患者的数据,并将结果与 2016-2017 年和 2018-2019 年的同期数据进行了比较。结果显示,接受急诊手术的患者数量显著减少(=0.028)。在医院表现出更严重症状的患者比例显著更高(=0.007)。与大流行前时期相比,手术干预的平均持续时间增加(=0.021)。报告称在大流行期间进行的造口术百分比增加。术后住院时间在大流行期间缩短。术后死亡率为 25.7%。结论:由 COVID-19 引起的大流行对结肠癌患者的急诊治疗产生了重大影响。到医院就诊的患者人数减少,且症状更严重。为了降低感染 SARS-CoV-2 病毒的风险,缩短了术后住院时间,并进行了更多的保护性造口术。

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