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在 COVID-19 期间进行消化道癌症手术的安全性：一项实时系统评价和荟萃分析。

The safety of digestive tract cancer surgery during COVID-19: A living systematic review and meta-analysis.

机构信息

Department of Traditional Chinese Medicine, The Central Hospital of Guangyuan City, Sichuan Province, China; Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.

出版信息

Asian J Surg. 2023 Oct;46(10):4138-4151. doi: 10.1016/j.asjsur.2023.03.056. Epub 2023 Mar 21.

DOI:10.1016/j.asjsur.2023.03.056
PMID:36967345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10027963/
Abstract

Surgery is the primary curative treatment of solid cancers. However, its safety has been compromised by the outbreak of COVID-19. Therefore, it is necessary to evaluate the safety of digestive tract cancer surgery in the context of COVID-19. We used the Review Manager software (v.5.4) and Stata software (version 16.0) for meta-analysis and statistical analysis. Sixteen retrospective studies involving 17,077 patients met the inclusion criteria. The data indicates that performing digestive tract cancer surgery during the COVID-19 pandemic led to increased blood loss(MD = -11.31, 95%CI:-21.43 to -1.20, P = 0.03), but did not increase postoperative complications(OR = 1.03, 95%CI:0.78 to1.35, P = 0 0.86), anastomotic leakage (OR = 0.96, 95%CI:0.52 to1.77, P = 0 0.89), postoperative mortality (OR = 0.65, 95%CI:0.40 to1.07, P = 0 0.09), number of transfusions (OR = 0.74, 95%CI:0.30 to 1.80, P = 0.51), number of patients requiring ICU care(OR = 1.37, 95%CI:0.90 to 2.07, P = 0.14), postoperative 30-d readmission (OR = 0.94, 95%CI:0.82 to 1.07, P = 0 0.33), total hospital stay (MD = 0.11, 95%CI:-2.37 to 2.59, P = 0.93), preoperative waiting time(MD = - 0.78, 95%CI:-2.34 to 0.79, P = 0.33), postoperative hospital stay(MD = - 0.44, 95%CI:-1.61 to 0.74, P = 0.47), total operation time(MD = -12.99, 95%CI:-28.00 to 2.02, P = 0.09) and postoperative ICU stay (MD = - 0.02, 95%CI:-0.62 to 0.57, P = 0.94). Digestive tract cancer surgery can be safely performed during the COVID-19.

摘要

手术是实体癌症的主要治疗方法。然而，由于 COVID-19 的爆发，其安全性受到了影响。因此，有必要评估 COVID-19 背景下消化道癌症手术的安全性。我们使用 Review Manager 软件（v.5.4）和 Stata 软件（版本 16.0）进行荟萃分析和统计分析。纳入了 16 项回顾性研究，涉及 17077 名患者。数据表明，在 COVID-19 大流行期间进行消化道癌症手术会导致出血量增加（MD=-11.31，95%CI：-21.43 至-1.20，P=0.03），但不会增加术后并发症（OR=1.03，95%CI：0.78 至 1.35，P=0.86）、吻合口漏（OR=0.96，95%CI：0.52 至 1.77，P=0.89）、术后死亡率（OR=0.65，95%CI：0.40 至 1.07，P=0.09）、输血量（OR=0.74，95%CI：0.30 至 1.80，P=0.51）、需要 ICU 护理的患者人数（OR=1.37，95%CI：0.90 至 2.07，P=0.14）、术后 30 天再入院（OR=0.94，95%CI：0.82 至 1.07，P=0.33）、总住院时间（MD=0.11，95%CI：-2.37 至 2.59，P=0.93）、术前等待时间（MD=-0.78，95%CI：-2.34 至 0.79，P=0.33）、术后住院时间（MD=-0.44，95%CI：-1.61 至 0.74，P=0.47）、总手术时间（MD=-12.99，95%CI：-28.00 至 2.02，P=0.09）和术后 ICU 停留时间（MD=-0.02，95%CI：-0.62 至 0.57，P=0.94）。COVID-19 期间可以安全地进行消化道癌症手术。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/22429f5ed4c1/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/f02e52459c9b/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/c53a63fad50f/gr3_lrg.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/8b90b63af867/gr6_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/abf2305da125/gr7_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/48306e1bdb4c/gr8_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/31329e68c28a/gr9_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/d7a90e75cbeb/gr10_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/cb47516752eb/gr11_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/9256e6060497/gr12_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/0f7a923eb503/gr13_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/2e2c49acbddb/gr14_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/3bcd8e079c3b/gr15_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/af1c240f2049/gr16_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/d3cb39a97066/gr17_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/6d213fead8b3/gr18_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/063c120674de/gr19_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65d2/10027963/25117a6412a7/gr20a_lrg.jpg

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