• Colorectal Dis · Sep 2020

    Implementation of a clinical pathway for the surgical treatment of colorectal cancer during the COVID-19 pandemic.

    • S Evans, C Taylor, A Antoniou, T Agarwal, E Burns, J T Jenkins, and D Miskovic.
    • St Mark's Hospital, London, UK.
    • Colorectal Dis. 2020 Sep 1; 22 (9): 1002-1005.

    AimThis report summarizes the early experience of implementing elective colorectal cancer surgery during the COVID-19 pandemic.MethodsA 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.ResultsThirty-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.ConclusionA safe pathway to offer standard high-quality surgery to colorectal cancer patients during the COVID-19 pandemic is feasible.© 2020 The Association of Coloproctology of Great Britain and Ireland.

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