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10.1016/j.jviscsurg.2020.03.008

http://scihub22266oqcxt.onion/10.1016/j.jviscsurg.2020.03.008
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suck abstract from ncbi


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pmid32249098      J+Visc+Surg 2020 ; 157 (3S1): S7-S12
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  • Strategy for the practice of digestive and oncological surgery during the Covid-19 epidemic #MMPMID32249098
  • Tuech JJ; Gangloff A; Di Fiore F; Michel P; Brigand C; Slim K; Pocard M; Schwarz L
  • J Visc Surg 2020[Jun]; 157 (3S1): S7-S12 PMID32249098show ga
  • The Covid-19 pandemic is changing the organization of healthcare and has a direct impact on digestive surgery. Healthcare priorities and circuits are being modified. Emergency surgery is still a priority. Functional surgery is to be deferred. Laparoscopic surgery must follow strict rules so as not to expose healthcare professionals (HCPs) to added risk. The question looms large in cancer surgery-go ahead or defer? There is probably an added risk due to the pandemic that must be balanced against the risk incurred by deferring surgery. For each type of cancer-colon, pancreas, oesogastric, hepatocellular carcinoma-morbidity and mortality rates are stated and compared with the oncological risk incurred by deferring surgery and/or the tumour doubling time. Strategies can be proposed based on this comparison. For colonic cancers T1-2, N0, it is advisable to defer surgery. For advanced colonic lesions, it seems judicious to undertake neoadjuvant chemotherapy and then wait. For rectal cancers T3-4 and/or N+, chemoradiotherapy is indicated, short radiotherapy must be discussed (followed by a waiting period) to reduce time of exposure in the hospital and to prevent infections. Most complex surgery with high morbidity and mortality-oesogastric, hepatic or pancreatic-is most often best deferred.
  • |*Coronavirus Infections[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral[MESH]
  • |COVID-19[MESH]
  • |Digestive System Diseases/*surgery[MESH]
  • |Digestive System Neoplasms/*surgery[MESH]
  • |Health Services Needs and Demand[MESH]
  • |Humans[MESH]
  • |Laparoscopy[MESH]
  • |Postoperative Care[MESH]
  • |Practice Guidelines as Topic[MESH]


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