Madi Murielle, Heise Marcus, Rieder Lisa, Mattern Elke, Ronellenfitsch Ulrich, Steckelberg Anke
Institute of Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle (Saale), Germany.
Institute of Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Magdeburger Str. 8, 06112, Halle (Saale), Germany.
Am J Surg. 2025 Mar;241:116068. doi: 10.1016/j.amjsurg.2024.116068. Epub 2024 Nov 5.
The COVID-19 pandemic, led to significant global health challenges. Medical services worldwide had to reconfigure to manage the surge in COVID-19 cases, including oncological abdominal surgery (OAS). This study investigates the impact of the pandemic on the OAS workforce and aims to enhance future healthcare preparedness to potential pandemics.
This scoping review followed the methodologies from Arksey & O'Malley and the Joanna Briggs Institute. The search included the databases MEDLINE, CINAHL, Cochrane Library, and Web of Science, with backward citation tracking using Google Scholar™. The results were reported narratively and divided in categories and sub-categories. The reporting followed the PRISMA-ScR guidelines.
Fifteen studies were included in this scoping review. Seven studies were conducted in the United Kingdom and eight in the European Union. Key findings include treatment plan alterations such as postponing or cancelling surgeries, referring patients to alternative treatments, and changes in surgical techniques. Organizational challenges included patient and healthcare professionals' reallocation, resource shortages, and cold site availability. Measures to handle COVID-19 included adherence to guidelines, patient prioritization, and nursing roles. Testing and contamination prevention involved routine testing and the use of protective equipment. Communication shifted to virtual formats, with the introduction of telemedicine and video conferences. The pandemic induced significant psychological stress among surgical teams and highlighted lessons for future pandemics.
The COVID-19 pandemic required substantial adjustments in oncological surgery. Keeping up with rapidly changing recommendations was challenging, yet provided valuable lessons for future healthcare management and crisis response. Future pandemic preparedness strategies should include innovative solutions that unburden healthcare professionals.
新冠疫情给全球带来了重大的健康挑战。全球医疗服务不得不进行重新配置，以应对新冠病例的激增，包括肿瘤腹部手术（OAS）。本研究调查了疫情对肿瘤腹部手术医护人员的影响，旨在提高未来医疗保健对潜在疫情的应对能力。
本综述采用了阿克西和奥马利以及乔安娜·布里格斯研究所的方法。检索数据库包括MEDLINE、CINAHL、考克兰图书馆和科学网，并使用谷歌学术进行反向引文追踪。结果以叙述方式报告，并分为类别和子类别。报告遵循PRISMA-ScR指南。
本综述纳入了15项研究。7项研究在英国进行，8项在欧盟进行。主要发现包括治疗计划的改变，如推迟或取消手术、将患者转诊至其他治疗方法以及手术技术的变化。组织方面的挑战包括患者和医护人员的重新分配、资源短缺以及备用场地的可用性。应对新冠疫情的措施包括遵守指南、患者优先级排序以及护理职责。检测和污染预防包括常规检测和使用防护设备。沟通方式转向虚拟形式，引入了远程医疗和视频会议。疫情给手术团队带来了巨大的心理压力，并为未来应对疫情提供了经验教训。
新冠疫情要求肿瘤外科进行重大调整。跟上迅速变化的建议具有挑战性，但为未来的医疗管理和危机应对提供了宝贵的经验教训。未来的疫情应对策略应包括创新解决方案，以减轻医护人员的负担。
