Research Article
Volume 8 Issue 2 - 2021
Surgical Treatment and Follow-Up of Colorectal Cancer During COVID-19 Pandemic: The Exception to the Rule?
Barreiro María Catalina*, Napolitano Milena, Avellaneda Nicolás, Salvadores Pablo, Rodriguez Olivieri Manuela, Goya Micaela, Carrie Augusto and Oddi Ricardo
General Surgery Department, Centre for Medical Education and Clinical Investigation Dr. Norberto Quirno (CEMIC), Galván Av, Buenos Aires, Argentina
*Corresponding Author: Barreiro María Catalina, General Surgery Department, Centre for Medical Education and Clinical Investigation Dr. Norberto Quirno (CEMIC), Galván Av, Buenos Aires, Argentina.
Received: November 11, 2020; Published: January 19, 2020




Abstract

Background: COVID‐19 pandemic has had a major impact in all aspects of health care creating unprecedented challenges for healthcare systems. Impact on colorectal cancer (CRC) patients remains undetermined. We aim to compare results between patients operated before and during the COVID-19 pandemic for CRC in a University Hospital.

Methods: A retrospective analysis of a prospectively collected database was made regarding two groups of patients operated for CRC during 2019 (group A) and during the COVID-19 pandemic (group B). A comparison was made considering age, comorbidities, time between first consult to surgical procedure, information about surgical intervention, tumour stage and follow up.

Results: 67 patients were included, 21 in Group B. Overall patient´s median age was 66.94 years (SD: 14.93) and no differences were found regarding age and comorbidities between the groups. Delay in medical consultation for associated symptoms was higher in group A, whereas time from first consult to surgery and type of admission were similar in both periods. Laparoscopic approach was lower in Group B (13 patients: 61.90% vs. 40 patients: 86.96%, p = 0.019), and 23 (50%) patients of Group A and 8 (38.10%) patients of Group B had early stage tumours (p = 0.365). Complications were greater in group A. During the pandemic, 39 (88,64%) patients of group A received adequate oncological follow-up.  

Conclusion: Patients with CRC who underwent surgery before and during COVID -19 pandemic weren´t different in terms of delay in medical attention, surgical outcomes and tumour stage.

Keywords: COVID-19; Colorectal Cancer; Pandemic; Surgery

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Citation: Barreiro María Catalina., et al. “Surgical Treatment and Follow-Up of Colorectal Cancer During COVID-19 Pandemic: The Exception to the Rule?”. EC Gastroenterology and Digestive System 8.2 (2021): 20-29.

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