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Vol. 99. Issue 3.
Pages 174-182 (March 2021)
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Vol. 99. Issue 3.
Pages 174-182 (March 2021)
Special article
DOI: 10.1016/j.cireng.2020.10.017
Recommendations on intervention for hepatobiliary oncological surgery during the COVID-19 pandemic
Recomendaciones de actuación en cirugía oncológica hepatobiliopancreática durante la pandemia COVID-19
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Alejandra García Botellaa,
Corresponding author
sandragbotella@hotmail.es

Corresponding author.
, Miguel Angel Gómez Bravob, Marcello Di Martinoc, Mikel Gastacad, Elena Martín-Pérezc, Santiago Sánchez Cabúse, Belinda Sánchez Pérezf, Santiago López Beng, Juan Carlos Rodríguez Sanjuánh, Rafael López-Andújari,j, Manuel Barrerak, Surgery-AEC-COVID-19 Work Group
a Cirugía General y del Aparato Digestivo, Hospital Clínico San Carlos, Madrid, Spain
b Cirugía General y del Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, Spain
c Cirugía General y del Aparato Digestivo, Hospital Universitario de La Princesa, Madrid, Spain
d Cirugía General y del Aparato Digestivo, Hospital Universitario Cruces, Bilbao, Spain
e Cirugía General y del Aparato Digestivo, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
f Cirugía General y del Aparato Digestivo, Hospital Carlos Haya, Málaga, Spain
g Cirugía General y del Aparato Digestivo, Hospital Dr. Josep Trueta, Girona, Spain
h Cirugía General y del Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, Spain
i Cirugía General y del Aparato Digestivo, Hospital Universitario y Politécnico La Fe, Valencia, Spain
j CIBERehd, Instituto de Salud Carlos III, Madrid, Spain
k Cirugía General y del Aparato Digestivo, Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, Spain
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Tables (5)
Table 1. Scenarios of the SARS-CoV-2 pandemic.
Table 2. Recommendations for management of pancreatic cancer according to pandemic phases.
Table 3. Recommendations for the management of hilar cholangiocarcinoma according to phases of the pandemic.
Table 4. Recommendations for the management of hepatocarcinoma according to phases of the pandemic.
Table 5. Recommendations for management of liver metastasis of colorectal cancer according to phases of the pandemic.
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Abstract

The SARS-CoV-2 (COVID-19) pandemic requires an analysis in the field of oncological surgery, both on the risk of infection, with very relevant clinical consequences, and on the need to generate plans to minimize the impact on possible restrictions on health resources.

The AEC is making a proposal for the management of patients with hepatopancreatobiliary (HPB) malignancies in the different pandemic scenarios in order to offer the maximum benefit to patients, minimising the risks of COVID-19 infection, and optimising the healthcare resources available at any time. This requires the coordination of the different treatment options between the departments involved in the management of these patients: medical oncology, radiotherapy oncology, surgery, anaesthesia, radiology, endoscopy department and intensive care.

The goal is offer effective treatments, adapted to the available resources, without compromising patients and healthcare professionals’ safety.

Keywords:
COVID-19 infection
Oncological surgery
Cancer
Pandemic
Resumen

La pandemia por SARS-CoV-2 (COVID-19) obliga a una reflexión en el ámbito de la cirugía oncológica, tanto sobre el riesgo de infección, de consecuencias clínicas muy relevantes, como sobre la necesidad de generar planes para minimizar el impacto sobre las posibles restricciones de los recursos sanitarios.

La AEC hace una propuesta de manejo de pacientes con neoplasias hepatobiliopancreáticas (HBP) en los distintos escenarios de pandemia, con el objetivo de ofrecer el máximo beneficio a los pacientes y minimizar el riesgo de infección por COVID-19, optimizando a su vez los recursos disponibles en cada momento. Para ello es preciso la coordinación de los diferentes tratamientos entre los servicios implicados: oncología médica, oncología radioterápica, cirugía, anestesia, radiología, endoscopia y cuidados intensivos.

El objetivo es ofrecer tratamientos eficaces, adaptándonos a los recursos disponibles, sin comprometer la seguridad de los pacientes y los profesionales.

Palabras clave:
Infección COVID-19
Cirugía oncológica
Cáncer
Pandemia

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