Cargando…

Auswirkungen von COVID-19 auf die onkologische Chirurgie des oberen Gastrointestinaltrakts

BACKGROUND: The outbreak of the coronavirus disease 2019 (COVID-19) pandemic imposed limitations for elective surgery, impacting the associated hospital standards worldwide. As certain treatment windows must be adhered to in oncological surgery, the limited intensive care unit (ICU) capacity had to...

Descripción completa

Detalles Bibliográficos
Autores principales: Babic, Benjamin, Datta, Rabi R., Schröder, Wolfgang, Schiffmann, Lars M., Schmidt, Thomas, Bruns, Christiane J., Fuchs, Hans F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391856/
https://www.ncbi.nlm.nih.gov/pubmed/34448904
http://dx.doi.org/10.1007/s00104-021-01489-4
_version_ 1783743370265362432
author Babic, Benjamin
Datta, Rabi R.
Schröder, Wolfgang
Schiffmann, Lars M.
Schmidt, Thomas
Bruns, Christiane J.
Fuchs, Hans F.
author_facet Babic, Benjamin
Datta, Rabi R.
Schröder, Wolfgang
Schiffmann, Lars M.
Schmidt, Thomas
Bruns, Christiane J.
Fuchs, Hans F.
author_sort Babic, Benjamin
collection PubMed
description BACKGROUND: The outbreak of the coronavirus disease 2019 (COVID-19) pandemic imposed limitations for elective surgery, impacting the associated hospital standards worldwide. As certain treatment windows must be adhered to in oncological surgery, the limited intensive care unit (ICU) capacity had to be critically distributed in order to do justice to both acutely ill and oncology patients. This manuscript summarizes the impact of COVID-19 on the management of oncological surgery of the upper gastrointestinal tract and particularly esophageal surgery in German medical centers. MATERIAL AND METHODS: A survey of German centers for esophageal surgery was performed on the impact of COVID-19 on operative management for esophageal surgery during the first lockdown. After inspection, assessment, critical analysis and interpretation, the results were compared to the international literature. RESULTS AND DISCUSSION: Initial recommendations of international societies warned for caution and restraint regarding interventions of the upper gastrointestinal tract that were not absolutely necessary. Oncological surgery should be performed under strict restrictions, especially only after negative testing for COVID-19 and only with sufficiently available personal protective equipment for the personnel. Furthermore, minimally invasive procedures were preferably not recommended. In diseases with alternative treatment options, such as definitive chemoradiotherapy of esophageal squamous cell carcinoma, these should be given priority when possible. In the further development of the pandemic, it was shown that due to a high standardization of preoperative management, postoperative results comparable to pre-pandemic times could be achieved particularly with respect to the diagnostics of infections.
format Online
Article
Text
id pubmed-8391856
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Springer Medizin
record_format MEDLINE/PubMed
spelling pubmed-83918562021-08-27 Auswirkungen von COVID-19 auf die onkologische Chirurgie des oberen Gastrointestinaltrakts Babic, Benjamin Datta, Rabi R. Schröder, Wolfgang Schiffmann, Lars M. Schmidt, Thomas Bruns, Christiane J. Fuchs, Hans F. Chirurg Leitthema BACKGROUND: The outbreak of the coronavirus disease 2019 (COVID-19) pandemic imposed limitations for elective surgery, impacting the associated hospital standards worldwide. As certain treatment windows must be adhered to in oncological surgery, the limited intensive care unit (ICU) capacity had to be critically distributed in order to do justice to both acutely ill and oncology patients. This manuscript summarizes the impact of COVID-19 on the management of oncological surgery of the upper gastrointestinal tract and particularly esophageal surgery in German medical centers. MATERIAL AND METHODS: A survey of German centers for esophageal surgery was performed on the impact of COVID-19 on operative management for esophageal surgery during the first lockdown. After inspection, assessment, critical analysis and interpretation, the results were compared to the international literature. RESULTS AND DISCUSSION: Initial recommendations of international societies warned for caution and restraint regarding interventions of the upper gastrointestinal tract that were not absolutely necessary. Oncological surgery should be performed under strict restrictions, especially only after negative testing for COVID-19 and only with sufficiently available personal protective equipment for the personnel. Furthermore, minimally invasive procedures were preferably not recommended. In diseases with alternative treatment options, such as definitive chemoradiotherapy of esophageal squamous cell carcinoma, these should be given priority when possible. In the further development of the pandemic, it was shown that due to a high standardization of preoperative management, postoperative results comparable to pre-pandemic times could be achieved particularly with respect to the diagnostics of infections. Springer Medizin 2021-08-27 2021 /pmc/articles/PMC8391856/ /pubmed/34448904 http://dx.doi.org/10.1007/s00104-021-01489-4 Text en © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Leitthema
Babic, Benjamin
Datta, Rabi R.
Schröder, Wolfgang
Schiffmann, Lars M.
Schmidt, Thomas
Bruns, Christiane J.
Fuchs, Hans F.
Auswirkungen von COVID-19 auf die onkologische Chirurgie des oberen Gastrointestinaltrakts
title Auswirkungen von COVID-19 auf die onkologische Chirurgie des oberen Gastrointestinaltrakts
title_full Auswirkungen von COVID-19 auf die onkologische Chirurgie des oberen Gastrointestinaltrakts
title_fullStr Auswirkungen von COVID-19 auf die onkologische Chirurgie des oberen Gastrointestinaltrakts
title_full_unstemmed Auswirkungen von COVID-19 auf die onkologische Chirurgie des oberen Gastrointestinaltrakts
title_short Auswirkungen von COVID-19 auf die onkologische Chirurgie des oberen Gastrointestinaltrakts
title_sort auswirkungen von covid-19 auf die onkologische chirurgie des oberen gastrointestinaltrakts
topic Leitthema
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8391856/
https://www.ncbi.nlm.nih.gov/pubmed/34448904
http://dx.doi.org/10.1007/s00104-021-01489-4
work_keys_str_mv AT babicbenjamin auswirkungenvoncovid19aufdieonkologischechirurgiedesoberengastrointestinaltrakts
AT dattarabir auswirkungenvoncovid19aufdieonkologischechirurgiedesoberengastrointestinaltrakts
AT schroderwolfgang auswirkungenvoncovid19aufdieonkologischechirurgiedesoberengastrointestinaltrakts
AT schiffmannlarsm auswirkungenvoncovid19aufdieonkologischechirurgiedesoberengastrointestinaltrakts
AT schmidtthomas auswirkungenvoncovid19aufdieonkologischechirurgiedesoberengastrointestinaltrakts
AT brunschristianej auswirkungenvoncovid19aufdieonkologischechirurgiedesoberengastrointestinaltrakts
AT fuchshansf auswirkungenvoncovid19aufdieonkologischechirurgiedesoberengastrointestinaltrakts