Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group

被引：22

作者：

Caricato, Marco ^{[1
]}

Baiocchi, Gian Luca ^{[2
]}

Crafa, Francesco ^{[3
]}

Scabini, Stefano ^{[4
]}

Brisinda, Giuseppe ^{[5
]}

Clementi, Marco ^{[6
]}

Sica, Giuseppe ^{[7
]}

Delrio, Paolo ^{[8
]}

Longo, Graziano ^{[9
]}

Anania, Gabriele ^{[10
]}

de Manzini, Nicolo ^{[11
]}

Amodio, Pietro ^{[12
]}

Lucchi, Andrea ^{[13
]}

Baldazzi, Gianandrea ^{[14
]}

Garulli, Gianluca ^{[15
]}

Patriti, Alberto ^{[16
]}

Pirozzi, Felice ^{[17
]}

Pavanello, Maurizio ^{[18
]}

Carrara, Alessandro ^{[19
]}

Campagnacci, Roberto ^{[20
]}

Liverani, Andrea ^{[21
]}

Muratore, Andrea ^{[22
]}

Siquini, Walter ^{[23
]}

De Luca, Raffaele ^{[24
]}

Mancini, Stefano ^{[25
]}

Borghi, Felice ^{[26
]}

Di Cosmo, Mariantonietta ^{[27
]}

Persiani, Roberto ^{[28
]}

Pedrazzani, Corrado ^{[29
]}

Scaramuzzi, Matteo ^{[30
]}

Scatizzi, Marco ^{[31
]}

Vettoretto, Nereo ^{[32
]}

Totis, Mauro ^{[33
]}

Gennai, Andrea ^{[34
]}

Marini, Pierluigi ^{[35
]}

Basti, Massimo ^{[36
]}

Viola, Massimo ^{[37
]}

Ruffo, Giacomo ^{[38
]}

Catarci, Marco ^{[39
]}

机构：

[1] Campus BioMed Univ Hosp, Colorectal Surg Unit, Rome, Italy

[2] Univ & Spedali Civili, Gen Surg Unit 3, Brescia, Italy

[3] Moscati Hosp, Gen & Oncol Surg Unit, Avellino, Italy

[4] Natl Canc Ctr San Martino, Gen & Oncol Surg Unit, Genoa, Italy

[5] San Giovanni di Dio Hosp, Gen Surg Unit, Crotone, Italy

[6] Univ Hosp, Gen Surg Unit, Laquila, Italy

[7] Tor Vergata Univ Hosp, Gen Surg Unit, Rome, Italy

[8] IRCCS G Pascale Fdn, Colorectal Surg Oncol Unit, Naples, Italy

[9] Policlin Casilino, Gen Surg Unit, Rome, Italy

[10] Univ Hosp, Gen Surg Unit, Ferrara, Italy

[11] Univ Hosp, Gen Surg Unit, Trieste, Italy

[12] Belcolle Hosp, Gen Surg Unit, Viterbo, Italy

[13] Ceccarini Hosp, Gen Surg Unit, Riccione, RN, Italy

[14] ASST Nord Hosp, Gen Surg Unit, Sesto San Giovanni, MI, Italy

[15] Infermi Hosp, Gen Surg Unit, Rimini, Italy

[16] Marche Nord Hosp, Gen Surg Unit, Pesaro Fano, PU, Italy

[17] ASL Napoli2 Hosp, Gen Surg Unit, Pozzuoli, NA, Italy

[18] AULSS2 Hosp, Gen Surg Unit, Conegliano, TV, Italy

[19] Santa Chiara Hosp, Gen Surg Unit, Trento, Italy

[20] C Urbani Hosp, Gen Surg Unit, Jesi, AN, Italy

[21] Regina Apostolorum Hosp, Gen Surg Unit, Albano Laziale, RM, Italy

[22] E Agnelli Hosp, Gen Surg Unit, Pinerolo, TO, Italy

[23] ASUR AV3 Hosp, Gen Surg Unit, Macerata, Italy

[24] IRCCS Ist Tumori Giovanni Paolo II, Surg Oncol Unit, Bari, Italy

[25] San Filippo Neri Hosp, Gen & Oncol Surg Unit, Rome, Italy

[26] Santa Croce & Carle Hosp, Gen Surg Unit, Cuneo, Italy

[27] Univ Hosp, Gen Surg Unit Upper GI, Verona, Italy

[28] Catholic Univ Hosp, Gen Surg Unit, Rome, Italy

[29] Univ Hosp, Gen Surg Unit Lower GI, Verona, Italy

[30] IRCCS Casa Sollievo Sofferenza, Gen Surg Unit, San Giovanni Rotondo, FG, Italy

[31] Santa Maria Annunziata Hosp, Gen Surg Unit, Florence, Italy

[32] Spedali Civili Brescia, Gen Surg Unit, Montichiari, BS, Italy

[33] San Gerardo Hosp, Gen Surg Unit, Monza, Italy

[34] St Andrea Hosp, Gen Surg Unit, La Spezia, Italy

[35] San Camillo Hosp, Gen Surg Unit, Rome, Italy

[36] Santo Spirito Hosp, Gen Surg Unit, Pescara, Italy

[37] Cardinale Pan Hosp, Gen Surg Unit, Tricase, LE, Italy

[38] IRCCS Sacro Cuore Don Calabria Hosp, Gen Surg Unit, Negrar Di Valpolicella, VR, Italy

[39] ASUR Marche AV5, Gen Surg Unit, Osped CEG Mazzoni, Via Iris Snc, I-63100 Ascoli Piceno, Italy

来源：

UPDATES IN SURGERY | 2020年 / 72卷 / 02期

关键词：

Colorectal surgery; Covid19; outbreak;

D O I：

10.1007/s13304-020-00760-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation. Methods A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak. Results Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers. Discussion Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency.

引用

页码：249 / 257

页数：9

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