解放军医学院学报2024，Vol.45Issue(3)：252-255,295,5.DOI:10.12435/j.issn.2095-5227.2024.002
有症状新型冠状病毒感染者感染后30d内行胃肠恶性肿瘤根治手术安全性的队列研究
Safety of surgical resection of malignant gastrointestinal tumors in patients with symptoms of COVID-19 within 30 days after infection:A cohort study
赵旭东 1于志远 2马超 1周思欣 1刘娜 1乔治 1李沛雨1
作者信息
- 1. 解放军总医院第一医学中心普通外科医学部,北京 100853
- 2. 解放军总医院第一医学中心普通外科医学部,北京 100853||南开大学医学院,天津 300074
- 折叠
摘要
Abstract
Background Whether patients with gastrointestinal malignancies who need timely surgery should postpone timely surgery for a long time after being infected with COVID-19 remains controversial.Objective To evaluate the safety of surgical resection of malignant gastrointestinal tumors in patients with symptoms of COVID-19 within 30 days after infection.Methods The clinical data and prognosis of patients with malignant gastrointestinal tumors who underwent surgery in the Senior Department of General Surgery,the First Medical Center of Chinese PLA General Hospital from November 1,2022 to January 16,2023,were collected and analyzed retrospectively.The incidence and severity of complications between the two groups were compared.Results There were 81 patients in the infection group and 131 patients in the control group,and there were no statistically significant differences between the two groups in age,sex,body mass index(BMI),surgical methods,operative time,blood loss,length of postoperative hospital stay,number of harvested lymph nodes,or vaccination status(all P＞0.05).And no significant differences were found in complication probability(14.8%[12/81]vs 16.8%[22/131],P=0.703)and complication severity(Clavien‒Dindo classification:gradeⅠ,gradeⅡ,gradeⅢa and gradeⅢb)(2.5%,9.9%,4.9%and 2.5%vs 3.8%,9.9%,7.6%,and 0.8%,P=0.721)between the two groups.Conclusion The surgical resection of malignant gastrointestinal tumors in patients with symptoms of COVID-19 within 30 days after infection is safe.关键词
新冠病毒感染/胃癌/结直肠癌/择期手术/手术并发症Key words
COVID-19 infection/gastric cancer/colorectal cancer/elective surgery/complication分类
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赵旭东,于志远,马超,周思欣,刘娜,乔治,李沛雨..有症状新型冠状病毒感染者感染后30d内行胃肠恶性肿瘤根治手术安全性的队列研究[J].解放军医学院学报,2024,45(3):252-255,295,5.
