[Several suggestion of operation for colorectal cancer under the outbreak of Corona Virus Disease 19 in China]

Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Feb 19;23(3):9-11. doi: 10.3760/cma.j.issn.1671-0274.2020.03.002. Online ahead of print.
[Article in Chinese]

Abstract

Pneumonia caused by SARS-Cov-2 infection has been reported in Wuhan since December 2019, and spread rapidly across the country. The radical operation of colorectal cancer is confine operation. Patients with colorectal cancer should receive operation as soon as possible after elective operation is resumed in each hospital. SARS-Cov-2 virus can be transmitted by asymptomatic infectors, and it has been confirmed to be transmitted by droplets and contact. However, fecal-oral transmission and aerosol transmission have not been excluded. Based onLaparoscopic colorectal operation experiences, the author suggests that the surgery strategy for colorectal cancer patients under the COVID-19 situation. Recommending laparoscopy-assisted radical surgery for colorectal cancer patients. The aerosols need to be strictly managed during operation. NOSES and TaTME should be carried out with cautious during the epidemic period. Protective stoma should be carried out scientifically and reasonably, and the protection of operating room personnel should be strengthened.

自2019年12月以来,新型冠状病毒肺炎(新冠肺炎,novel coronavirus pneumonia,NCP)在武汉爆发,并迅速向全国蔓延。新冠肺炎病毒可经由无症状感染者传播,并已被证实可经飞沫传播与接触传播,但粪口传播和气溶胶传播尚未除外。结直肠癌患者根治性手术属限期性手术,笔者根据本中心近期开展腹腔镜结直肠癌手术的经验,提出在新冠肺炎疫情条件下结直肠癌患者的手术策略。包括术前严格执行筛选流程、以减少后期院内传染风险;推荐对结直肠癌患者根治性手术采用腹腔镜辅助手术的方式进行治疗;严格进行术中气溶胶管理;慎重开展经自然腔道取标本手术和经肛全直肠系膜切除术;科学、合理进行预防性造口和严格切实加强病房及手术室人员防护。.

Keywords: Colorectal neoplasms; Laparoscopic surgery; Novel coronavirus pneumonia.

Publication types

  • English Abstract