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Implementation of a clinical pathway for the surgical treatment of colorectal cancer during the COVID-19 pandemic #MMPMID32654417
Evans S; Taylor C; Antoniou A; Agarwal T; Burns E; Jenkins JT; Miskovic D
Colorectal Dis 2020[Sep]; 22 (9): 1002-1005 PMID32654417show ga
AIM: This report summarizes the early experience of implementing elective colorectal cancer surgery during the COVID-19 pandemic. METHODS: A pathway to minimize the risk of including COVID-19-positive patients for elective surgery was established. Prioritization and additional safety measures were introduced into clinical practice. Minimal invasive surgery was used where appropriate. RESULTS: Thirty-eight patients were prioritized, and 23 patients underwent surgery (eight colon, 14 rectal and one anal cancer). The minimal invasive surgery rate was 78%. There were no major postoperative complications or patients diagnosed with COVID-19. Histopathological outcomes were similar to normal practice. CONCLUSION: A safe pathway to offer standard high-quality surgery to colorectal cancer patients during the COVID-19 pandemic is feasible.