Strategy for the practice of digestive and oncological surgery during the Covid-19 epidemic.
Identifieur interne : 000148 ( Hal/Checkpoint ); précédent : 000147; suivant : 000149Strategy for the practice of digestive and oncological surgery during the Covid-19 epidemic.
Auteurs : J.-J Tuech ; A. Gangloff [France] ; F. Fiore ; P. Michel [France] ; C. Brigand [France] ; K. Slim [France] ; Marc Pocard [France] ; L. Schwarz [France]Source :
- Journal of Visceral Surgery [ 1878-7886 ] ; 2020.
Descripteurs français
- Wicri :
- topic : Cancer.
English descriptors
Abstract
The Covid-19 pandemic is changing the organization of healthcare and has a direct impact on digestive surgery. Healthcare priorities and circuits are being modified. Emergency surgery is still a priority. Functional surgery is to be deferred. Laparoscopic surgery must follow strict rules so as not to expose healthcare professionals (HCPs) to added risk. The question looms large in cancer surgery-go ahead or defer? There is probably an added risk due to the pandemic that must be balanced against the risk incurred by deferring surgery. For each type of cancer-colon, pancreas, oesogastric, hepatocellular carcinoma-morbidity and mortality rates are stated and compared with the oncological risk incurred by deferring surgery and/or the tumour doubling time. Strategies can be proposed based on this comparison. For colonic cancers T1-2, N0, it is advisable to defer surgery. For advanced colonic lesions, it seems judicious to undertake neoadjuvant chemotherapy and then wait. For rectal cancers T3-4 and/or N+, chemoradiotherapy is indicated, short radiotherapy must be discussed (followed by a waiting ଝ NB: French speakers are advised to use the TNCD updates. Propositions alternatives de prise en charge des cancers digestifs en fonction de la situation épidémique au COVID 19, selon les données de la littérature et de l'expérience chinoise. ଝଝ The objectif of this paper is to allow the surgeons to adapt their practices during the first phase of the epidemic until the peak is reached. When the peak is over our systems will have to adapt, but patient maganement will have to become optimal again.
Url:
DOI: 10.1016/j.jviscsurg.2020.03.008
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Hal:hal-02552052Le document en format XML
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Gangloff</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-95536" status="VALID"> <orgName>Service d'Hépato-Gastroentérologie [CHU Rouen]</orgName> <desc> <address> <addrLine>1 rue Germont 76031 Rouen </addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-300106" type="direct"></relation> <relation active="#struct-300318" type="direct"></relation> <relation active="#struct-455934" type="indirect"></relation> <relation active="#struct-300147" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-300106" type="direct"><org type="institution" xml:id="struct-300106" status="VALID"> <orgName>Hôpital Charles Nicolle [Rouen]</orgName> <desc> <address> <addrLine>CHU de Rouen1 rue de Germont, 76031 Rouen cedex</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.chu-rouen.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300318" type="direct"><org type="institution" xml:id="struct-300318" status="VALID"> <idno type="ISNI">0000000121083034</idno> <idno type="IdRef">026403919</idno> <orgName>Université de Rouen Normandie</orgName> <orgName type="acronym">UNIROUEN</orgName> <date type="start">1966-01-01</date> <desc> <address> <addrLine>1, rue Thomas Becket 76821 Mont-Saint-Aignan Cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-rouen.fr/</ref> </desc> <listRelation> <relation active="#struct-455934" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-455934" type="indirect"><org type="regroupinstitution" xml:id="struct-455934" status="VALID"> <idno type="IdRef">190906332</idno> <idno type="ISNI">0000000417859671 </idno> <orgName>Normandie Université</orgName> <orgName type="acronym">NU</orgName> <date type="start">2015-01-01</date> <desc> <address> <addrLine>Esplanade de la Paix - CS 14032 - 14032 Caen Cedex 5</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.normandie-univ.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300147" type="direct"><org type="institution" xml:id="struct-300147" status="VALID"> <idno type="IdRef">169975681</idno> <orgName>CHU Rouen</orgName> <desc> <address> <addrLine>1, rue de Germont 76031 Rouen cedex</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.chu-rouen.fr/</ref> </desc> <listRelation> <relation active="#struct-455934" type="direct"></relation> </listRelation> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Fiore, F" sort="Fiore, F" uniqKey="Fiore F" first="F." last="Fiore">F. 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Schwarz</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-95536" status="VALID"> <orgName>Service d'Hépato-Gastroentérologie [CHU Rouen]</orgName> <desc> <address> <addrLine>1 rue Germont 76031 Rouen </addrLine> <country key="FR"></country> </address> </desc> <listRelation> <relation active="#struct-300106" type="direct"></relation> <relation active="#struct-300318" type="direct"></relation> <relation active="#struct-455934" type="indirect"></relation> <relation active="#struct-300147" type="direct"></relation> </listRelation> <tutelles><tutelle active="#struct-300106" type="direct"><org type="institution" xml:id="struct-300106" status="VALID"> <orgName>Hôpital Charles Nicolle [Rouen]</orgName> <desc> <address> <addrLine>CHU de Rouen1 rue de Germont, 76031 Rouen cedex</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.chu-rouen.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300318" type="direct"><org type="institution" xml:id="struct-300318" status="VALID"> <idno type="ISNI">0000000121083034</idno> <idno type="IdRef">026403919</idno> <orgName>Université de Rouen Normandie</orgName> <orgName type="acronym">UNIROUEN</orgName> <date type="start">1966-01-01</date> <desc> <address> <addrLine>1, rue Thomas Becket 76821 Mont-Saint-Aignan Cedex</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.univ-rouen.fr/</ref> </desc> <listRelation> <relation active="#struct-455934" type="direct"></relation> </listRelation> </org></tutelle><tutelle active="#struct-455934" type="indirect"><org type="regroupinstitution" xml:id="struct-455934" status="VALID"> <idno type="IdRef">190906332</idno> <idno type="ISNI">0000000417859671 </idno> <orgName>Normandie Université</orgName> <orgName type="acronym">NU</orgName> <date type="start">2015-01-01</date> <desc> <address> <addrLine>Esplanade de la Paix - CS 14032 - 14032 Caen Cedex 5</addrLine> <country key="FR"></country> </address> <ref type="url">http://www.normandie-univ.fr/</ref> </desc> </org></tutelle><tutelle active="#struct-300147" type="direct"><org type="institution" xml:id="struct-300147" status="VALID"> <idno type="IdRef">169975681</idno> <orgName>CHU Rouen</orgName> <desc> <address> <addrLine>1, rue de Germont 76031 Rouen cedex</addrLine> <country key="FR"></country> </address> <ref type="url">https://www.chu-rouen.fr/</ref> </desc> <listRelation> <relation active="#struct-455934" type="direct"></relation> </listRelation> </org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author></analytic><idno type="DOI">10.1016/j.jviscsurg.2020.03.008</idno><series><title level="j">Journal of Visceral Surgery</title><idno type="ISSN">1878-7886</idno><imprint><date type="datePub" subtype="inPress">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="mix" xml:lang="en"><term>Cancer</term><term>Coronavirus</term><term>Covid-19</term><term>Digestive surgery</term><term>Surgical complications</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cancer</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"> <p>The Covid-19 pandemic is changing the organization of healthcare and has a direct impact on digestive surgery. Healthcare priorities and circuits are being modified. Emergency surgery is still a priority. Functional surgery is to be deferred. Laparoscopic surgery must follow strict rules so as not to expose healthcare professionals (HCPs) to added risk. The question looms large in cancer surgery-go ahead or defer? There is probably an added risk due to the pandemic that must be balanced against the risk incurred by deferring surgery. For each type of cancer-colon, pancreas, oesogastric, hepatocellular carcinoma-morbidity and mortality rates are stated and compared with the oncological risk incurred by deferring surgery and/or the tumour doubling time. Strategies can be proposed based on this comparison. For colonic cancers T1-2, N0, it is advisable to defer surgery. For advanced colonic lesions, it seems judicious to undertake neoadjuvant chemotherapy and then wait. For rectal cancers T3-4 and/or N+, chemoradiotherapy is indicated, short radiotherapy must be discussed (followed by a waiting ଝ NB: French speakers are advised to use the TNCD updates. Propositions alternatives de prise en charge des cancers digestifs en fonction de la situation épidémique au COVID 19, selon les données de la littérature et de l'expérience chinoise. ଝଝ The objectif of this paper is to allow the surgeons to adapt their practices during the first phase of the epidemic until the peak is reached. When the peak is over our systems will have to adapt, but patient maganement will have to become optimal again.</p> </div></front></TEI><hal api="V3"> <titleStmt> <title xml:lang="en">Strategy for the practice of digestive and oncological surgery during the Covid-19 epidemic.</title> <author role="aut"> <persName> <forename type="first">J.-J</forename> <surname>Tuech</surname> </persName> <idno type="halauthorid">11806807</idno> </author> <author role="aut"> <persName> <forename type="first">A.</forename> <surname>Gangloff</surname> </persName> <idno type="halauthorid">11607050</idno> <affiliation ref="#struct-95536"></affiliation> </author> <author role="aut"> <persName> <forename type="first">F.</forename> <surname>Fiore</surname> </persName> <idno type="halauthorid">59285</idno> </author> <author role="aut"> <persName> <forename type="first">P.</forename> <surname>Michel</surname> </persName> <idno type="halauthorid">67050</idno> <affiliation ref="#struct-95536"></affiliation> </author> <author role="aut"> <persName> <forename type="first">C.</forename> <surname>Brigand</surname> </persName> <idno type="halauthorid">225741</idno> <affiliation ref="#struct-164688"></affiliation> </author> <author role="aut"> <persName> <forename type="first">K.</forename> <surname>Slim</surname> </persName> <email type="md5">584a26277762d9b6d88027905b662e1e</email> <email type="domain">chu-clermontferrand.fr</email> <idno type="halauthorid">1503366</idno> <affiliation ref="#struct-380171"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Marc</forename> <surname>Pocard</surname> </persName> <email type="md5">3953da5bbb6216df178a1ec8747f827c</email> <email type="domain">gmail.com</email> <idno type="idhal" notation="string">marc-pocard</idno> <idno type="idhal" notation="numeric">184223</idno> <idno type="halauthorid">771657</idno> <idno type="ORCID">https://orcid.org/0000-0002-4793-0008</idno> <affiliation ref="#struct-1004943"></affiliation> </author> <author role="aut"> <persName> <forename type="first">L.</forename> <surname>Schwarz</surname> </persName> <idno type="halauthorid">184295</idno> <affiliation ref="#struct-95536"></affiliation> <affiliation ref="#struct-1004880"></affiliation> </author> <editor role="depositor"> <persName> <forename>marc</forename> <surname>pocard</surname> </persName> <email type="md5">3953da5bbb6216df178a1ec8747f827c</email> <email type="domain">gmail.com</email> </editor> </titleStmt> <editionStmt> <edition n="v1" type="current"> <date type="whenSubmitted">2020-04-23 11:50:38</date> <date type="whenModified">2020-05-01 01:41:06</date> <date type="whenReleased">2020-04-29 10:05:17</date> <date type="whenProduced">2020</date> <date type="whenEndEmbargoed">2020-04-23</date> <ref type="file" target="https://hal-univ-paris.archives-ouvertes.fr/hal-02552052/document"> <date notBefore="2020-04-23"></date> </ref> <ref type="file" subtype="publisherAgreement" n="1" target="https://hal-univ-paris.archives-ouvertes.fr/hal-02552052/file/JVisSurg%20Covid-19%20Oncological%20surgery.pdf"> <date notBefore="2020-04-23"></date> </ref> <ref type="externalLink" target="https://doi.org/10.1016/j.jviscsurg.2020.03.008"></ref> </edition> <respStmt> <resp>contributor</resp> <name key="884296"> <persName> <forename>marc</forename> <surname>pocard</surname> </persName> <email type="md5">3953da5bbb6216df178a1ec8747f827c</email> <email type="domain">gmail.com</email> </name> </respStmt> </editionStmt> <publicationStmt> <distributor>CCSD</distributor> <idno type="halId">hal-02552052</idno> <idno type="halUri">https://hal-univ-paris.archives-ouvertes.fr/hal-02552052</idno> <idno type="halBibtex">tuech:hal-02552052</idno> <idno type="halRefHtml">Journal of Visceral Surgery, Elsevier, In press, ⟨10.1016/j.jviscsurg.2020.03.008⟩</idno> <idno type="halRef">Journal of Visceral Surgery, Elsevier, In press, ⟨10.1016/j.jviscsurg.2020.03.008⟩</idno> <availability status="restricted"> <licence target="http://creativecommons.org/licenses/by/">Attribution</licence> </availability> </publicationStmt> <seriesStmt> <idno type="stamp" n="APHP" corresp="INSERM">AP-HP</idno> <idno type="stamp" n="COMUE-NORMANDIE">Normandie Université</idno> <idno type="stamp" n="UNIROUEN" corresp="COMUE-NORMANDIE">Université de Rouen Normandie</idno> <idno type="stamp" n="UNIVERSITE-PARIS" corresp="UNIV-PARIS">Université de Paris</idno> <idno type="stamp" n="UP-SANTE">Université de Paris - Faculté de Santé</idno> <idno type="stamp" n="UNIV-PARIS">Université de Paris</idno> </seriesStmt> <notesStmt> <note type="audience" n="2">International</note> <note type="popular" n="0">No</note> <note type="peer" n="1">Yes</note> </notesStmt> <sourceDesc> <biblStruct> <analytic> <title xml:lang="en">Strategy for the practice of digestive and oncological surgery during the Covid-19 epidemic.</title> <author role="aut"> <persName> <forename type="first">J.-J</forename> <surname>Tuech</surname> </persName> <idno type="halauthorid">11806807</idno> </author> <author role="aut"> <persName> <forename type="first">A.</forename> <surname>Gangloff</surname> </persName> <idno type="halauthorid">11607050</idno> <affiliation ref="#struct-95536"></affiliation> </author> <author role="aut"> <persName> <forename type="first">F.</forename> <surname>Fiore</surname> </persName> <idno type="halauthorid">59285</idno> </author> <author role="aut"> <persName> <forename type="first">P.</forename> <surname>Michel</surname> </persName> <idno type="halauthorid">67050</idno> <affiliation ref="#struct-95536"></affiliation> </author> <author role="aut"> <persName> <forename type="first">C.</forename> <surname>Brigand</surname> </persName> <idno type="halauthorid">225741</idno> <affiliation ref="#struct-164688"></affiliation> </author> <author role="aut"> <persName> <forename type="first">K.</forename> <surname>Slim</surname> </persName> <email type="md5">584a26277762d9b6d88027905b662e1e</email> <email type="domain">chu-clermontferrand.fr</email> <idno type="halauthorid">1503366</idno> <affiliation ref="#struct-380171"></affiliation> </author> <author role="aut"> <persName> <forename type="first">Marc</forename> <surname>Pocard</surname> </persName> <email type="md5">3953da5bbb6216df178a1ec8747f827c</email> <email type="domain">gmail.com</email> <idno type="idhal" notation="string">marc-pocard</idno> <idno type="idhal" notation="numeric">184223</idno> <idno type="halauthorid">771657</idno> <idno type="ORCID">https://orcid.org/0000-0002-4793-0008</idno> <affiliation ref="#struct-1004943"></affiliation> </author> <author role="aut"> <persName> <forename type="first">L.</forename> <surname>Schwarz</surname> </persName> <idno type="halauthorid">184295</idno> <affiliation ref="#struct-95536"></affiliation> <affiliation ref="#struct-1004880"></affiliation> </author> </analytic> <monogr> <idno type="halJournalId" status="VALID">111663</idno> <idno type="issn">1878-7886</idno> <title level="j">Journal of Visceral Surgery</title> <imprint> <publisher>Elsevier</publisher> <date type="datePub" subtype="inPress">2020</date> </imprint> </monogr> <idno type="doi">10.1016/j.jviscsurg.2020.03.008</idno> </biblStruct> </sourceDesc> <profileDesc> <langUsage> <language ident="en">English</language> </langUsage> <textClass> <keywords scheme="author"> <term xml:lang="en">Digestive surgery</term> <term xml:lang="en">Surgical complications</term> <term xml:lang="en">Covid-19</term> <term xml:lang="en">Coronavirus</term> <term xml:lang="en">Cancer</term> </keywords> <classCode scheme="halDomain" n="sdv.can">Life Sciences [q-bio]/Cancer</classCode> <classCode scheme="halDomain" n="sdv.mhep.chi">Life Sciences [q-bio]/Human health and pathology/Surgery</classCode> <classCode scheme="halDomain" n="sdv.mhep.heg">Life Sciences [q-bio]/Human health and pathology/Hépatology and Gastroenterology</classCode> <classCode scheme="halTypology" n="ART">Journal articles</classCode> </textClass> <abstract xml:lang="en"> <p>The Covid-19 pandemic is changing the organization of healthcare and has a direct impact on digestive surgery. Healthcare priorities and circuits are being modified. Emergency surgery is still a priority. Functional surgery is to be deferred. Laparoscopic surgery must follow strict rules so as not to expose healthcare professionals (HCPs) to added risk. The question looms large in cancer surgery-go ahead or defer? There is probably an added risk due to the pandemic that must be balanced against the risk incurred by deferring surgery. For each type of cancer-colon, pancreas, oesogastric, hepatocellular carcinoma-morbidity and mortality rates are stated and compared with the oncological risk incurred by deferring surgery and/or the tumour doubling time. Strategies can be proposed based on this comparison. For colonic cancers T1-2, N0, it is advisable to defer surgery. For advanced colonic lesions, it seems judicious to undertake neoadjuvant chemotherapy and then wait. For rectal cancers T3-4 and/or N+, chemoradiotherapy is indicated, short radiotherapy must be discussed (followed by a waiting ଝ NB: French speakers are advised to use the TNCD updates. Propositions alternatives de prise en charge des cancers digestifs en fonction de la situation épidémique au COVID 19, selon les données de la littérature et de l'expérience chinoise. ଝଝ The objectif of this paper is to allow the surgeons to adapt their practices during the first phase of the epidemic until the peak is reached. When the peak is over our systems will have to adapt, but patient maganement will have to become optimal again.</p> </abstract> </profileDesc> </hal></record>Pour manipuler ce document sous Unix (Dilib)
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