Abstract
During the epidemic of COVID-19, the management model of colorectal cancer has to be changed at our center due to relatively limited medical resources. Outpatient visits are reduced under well protected after appointment, and rigorous investigation of epidemiological history and clinical symptoms are needed. We prefer a simple and convenient treatment regimen, which may also be postponed appropriately. Minimally invasive CRC surgery combined with a perioperative program of enhanced recovery after surgery should be recommended. We also focus on mental health treatments and healthy lifestyle education. In addition, routine follow-up can be moderately delayed. In total, adequate doctor-patient communication is also recommended throughout the treatment.
Highlights
From the end of 2019, a war without gunpowder has begun in China
During the epidemic of COVID-19, the management model of colorectal cancer has to be changed at our center due to relatively limited medical resources
Invasive Colorectal cancer (CRC) surgery combined with a perioperative program of enhanced recovery after surgery should be recommended
Summary
From the end of 2019, a war without gunpowder has begun in China. Novel coronavirus pneumonia (COVID-19) from Wuhan city has spread to the whole country and even the world [1]. Outpatient visits are reduced under well protected after appointment, and rigorous investigation of epidemiological history and clinical symptoms are needed. Details Online One at most A medical surgical mask or a general medical mask at least Check body temperature; Check for signs and symptoms; Epidemiological investigation Reduce infusion time; Long prescription policy Prefer simple and convenient regimen in principle; Continue the original regimen in principle Prefer neoadjuvant chemotherapy alone; Expand neoadjuvant therapy indications for low to moderate locally advanced rectal cancer Develop, improve or change the regimen by online MDT clinics or Wechat group Follow the physicians' advice A comprehensive examination to exclude COVID-19 Prefer minimally invasive surgery plus ERAS program; Not recommend colorectal and liver resection simultaneously; Postpone surgery where condition permits Mental health; Healthy lifestyle Postpone review time appropriately; The principle of proximity hospital; Online follow-up
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