Recommendations on intervention for hepatobiliary oncological surgery during the COVID-19 pandemic
Cir Esp (Engl Ed). 2021 Mar;99(3):174-182.
doi: 10.1016/j.ciresp.2020.10.010.
Epub 2020 Dec 16.
[Article in
English,
Spanish]
Authors
Alejandra García Botella
1
, Miguel Angel Gómez Bravo
2
, Marcello Di Martino
3
, Mikel Gastaca
4
, Elena Martín-Pérez
3
, Santiago Sánchez Cabús
5
, Belinda Sánchez Pérez
6
, Santiago López Ben
7
, Juan Carlos Rodríguez Sanjuán
8
, Rafael López-Andújar
9
, Manuel Barrera
10
; Grupo colaborativo Cirugía-AEC-COVID-19; Grupo colaborativo Cirugía-AEC-COVID-19; Jose M Balibrea, Inés Rubio-Pérez, Josep M Badia, Esteban Martin-Antona, Estibaliz Álvarez Peña, A Garcia-Botella, Elena Martín-Pérez, Mario Álvarez Gallego, Sagrario Martínez Cortijo, Isabel Pascual Migueláñez, Lola Pérez Díaz, José Luis Ramos Rodríquez, Eloy Espín-Basany, Raquel Sánchez Santos, Xavier Guirao Garriga, José Manuel Aranda Narváez, Salvador Morales-Conde
Affiliations
- 1 Cirugía general y del aparato digestivo, Hospital Clínico San Carlos, Madrid, España. Electronic address: sandragbotella@hotmail.es.
- 2 Cirugía general y del aparato digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España.
- 3 Cirugía general y del aparato digestivo, Hospital Universitario de La Princesa, Madrid, España.
- 4 Cirugía general y del aparato digestivo, Hospital Universitario Cruces, Bilbao, España.
- 5 Cirugía general y del aparato digestivo, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
- 6 Cirugía general y del aparato digestivo, Hospital Carlos Haya, Málaga, España.
- 7 Cirugía general y del aparato digestivo, Hospital Dr. Josep Trueta, Girona, España.
- 8 Cirugía general y del aparato digestivo, Hospital Universitario Marqués de Valdecilla, Santander, España.
- 9 Cirugía general y del aparato digestivo, Hospital Universitario y Politécnico La Fe, Valencia, España; CIBERehd, Instituto de Salud Carlos III, Madrid, España.
- 10 Cirugía general y del aparato digestivo, Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, España.
Abstract
The SARS-CoV-2 (COVID-19) pandemic requires an analysis in the field of oncological surgery, both on the risk of infection, with very relevant clinical consequences, and on the need to generate plans to minimize the impact on possible restrictions on health resources. The AEC is making a proposal for the management of patients with hepatopancreatobiliary (HPB) malignancies in the different pandemic scenarios in order to offer the maximum benefit to patients, minimising the risks of COVID-19 infection, and optimising the healthcare resources available at any time. This requires the coordination of the different treatment options between the departments involved in the management of these patients: medical oncology, radiotherapy oncology, surgery, anaesthesia, radiology, endoscopy department and intensive care. The goal is offer effective treatments, adapted to the available resources, without compromising patients and healthcare professionals safety.
Keywords:
COVID-19 infection; Cancer; Cirugía oncológica; Cáncer; Infección COVID-19; Oncological surgery; Pandemia; Pandemic.
Copyright © 2020 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
-
COVID-19 / epidemiology
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COVID-19 / prevention & control*
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COVID-19 / transmission
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Digestive System Neoplasms / pathology
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Digestive System Neoplasms / surgery*
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Humans
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Infection Control / organization & administration*
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Patient Selection*
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Surgical Oncology / organization & administration*