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新型冠状病毒感染流行期间胰腺疾病手术时机选择及围手术期处理优化措施思考

韩    序,浦    宁,楼文晖,吴文川   

  1. 复旦大学附属中山医院胰腺外科,上海200032
  • 出版日期:2023-02-01

  • Online:2023-02-01

摘要: 随着新型冠状病毒的进一步变异和国家疫情防控宏观策略的调整,我国疫情防控进入了新阶段,疫情防控重心从“防感染”转向“保健康,防重症”。目前,对于新型冠状病毒感染是否会影响胰腺手术的结局以及围手术期管理,尚存在争议。基于此问题,国内10家胰腺外科手术大容量中心专家共同讨论了关于新型冠状病毒感染流行期间胰腺疾病手术时机选择及围手术期处理优化措施,并初步达成了一定的共识。胰腺外科医生务必要认识到新型冠状病毒感染对围手术期安全造成的潜在风险,并通过正确选择手术时机、优化围手术期管理、建立新的胰腺肿瘤随访体系等措施,以应对疫情冲击带来的挑战,确保围手术期的安全性。

关键词: 新型冠状病毒, 新型冠状病毒感染, 胰腺外科, 手术时机, 围手术期, 优化措施

Abstract: Timing of pancreatic surgery and optimized measures for perioperative management during the COVID-19 epidemic        HAN Xu, PU Ning, LOU Wen-hui, et al.Department of Pancreatic Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China
Corresponding authors:WU Wen-chuan, E-mail: wu.wenchuan@zs-hospital.sh.cn; LOU Wen-hui, E-mail: lou.wenhui@zs-hospital.sh.cn
HAN Xu and PU Ning are the first authors who contributed equally to the article
Abstract    Since the further mutation of SARS-CoV-2 and the adjustment of national management measures, the major tasks of medical facilities have shifted from preventing the spread of virus infection to treating severe illness and saving lives. For pancreatic surgeons, there remains debate about whether COVID-19 affects the outcome and perioperative management of pancreatic surgery. Based on this issue, we invited experts from 10 domestic large-volume pancreatic centers to discuss the timing of pancreatic surgery and optimized measures for perioperative management during the COVID-19 epidemic, and reached a preliminary consensus. It is important for pancreatic surgeons to be aware of the potential risks for perioperative safety from COVID-19, and to address the challenges from the pandemic and ensure perioperative safety by proper selection of surgical timing, optimized perioperative managements, and established novel follow-up systems for pancreatic tumors.

Key words: SARS-CoV-2, COVID-19, pancreatic surgery, operation timming, perioperative period, optimized measures