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

Caricato, Marco; Baiocchi, Gian Luca; Crafa, Francesco; Scabini, Stefano; Brisinda, Giuseppe; Clementi, Marco; Sica, Giuseppe; Delrio, Paolo; Longo, Graziano; Anania, Gabriele; Manzini, Nicoló de; Amodio, Pietro Maria; Lucchi, Andrea; Baldazzi, Giànandrea; Garulli, Gianluca; Patriti, Alberto; Pirozzi, Felice; Pavanello, M; Carrara, Alessandro; Campagnacci, Roberto; Liverani, Andrea; Muratore, Andrea; Siquini, Walter; Luca, Raffaele De; Mancini, Stefano; Borghi, Felice; Cosmo, M. Di; Persiani, Roberto; Pedrazzani, Corrado; Scaramuzzi, Matteo; Scatizzi, Marco; Vettoretto, Nereo; Totis, Mauro; Gennai, Andrea; Marini, Pierluigi; Basti, M; Viola, Massimo; Ruffo, Giacomo; Catarci, Marco

doi:10.1007/s13304-020-00760-3

Cited by 29 publications

(23 citation statements)

References 14 publications

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“…A further consideration regarding the ERAS protocols during the COVID-19 pandemic is bound to its use in laparoscopic surgery [4]. We do not routinely test surgical patients in search of the SARS-CoV-2 infection.…”

mentioning

confidence: 99%

Gastrointestinal cancer surgery and enhanced recovery after surgery (ERAS) during COVID-19 outbreak

Sica

Campanelli

Bellato

et al. 2020

Langenbecks Arch Surg

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mentioning

confidence: 99%

Gastrointestinal cancer surgery and enhanced recovery after surgery (ERAS) during COVID-19 outbreak

Sica

Campanelli

Bellato

et al. 2020

Langenbecks Arch Surg

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“…Prioritisation of cases has followed fully shared decisions by the multidisciplinary team taking into account the experience of other centers in Italy [34]. Patients with nearly obstructing or bleeding colonic cancers have received upfront surgery within the expected 30 days from the diagnosis; a similar approach has been guaranteed for patients with complicated high and low rectal cancers.…”

Section: Colorectal Cancermentioning

confidence: 99%

The Clinical and Translational Research Activities at the INT – IRCCS “Fondazione Pascale” Center (Naples, Italy) during the COVID-19 Pandemic

Buonaguro¹,

Botti

Ascierto

et al. 2020

Preprint

Self Cite

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COVID-19 pandemic following the outbreak in China and Western Europe, where it finally lost the momentum, is now devastating North and South America. It has not been identified the reason and the molecular mechanisms of the two different patterns of the pulmonary host responses to virus from a minimal disease in young subjects to a severe distress syndrome (ARDS) in older subjects, particularly those with previous chronic diseases (including diabetes) and Cancer. The Management of the Istituto Nazionale Tumori - IRCCS “Fondazione Pascale” in Naples [INT-Pascale], along with all Health professionals decided not to interrupt the treatment of those hospitalized and to continue, even if after a careful triage in order not to allow SARS-CoV-2 positive subjects to access, to take care of cancer patients with serious conditions. Although very few (n=3) patients developed a symptomatic COVID-19 and required the transfer to a COVID-19 area of the Institute, no patients died during the Hospitalization and completed their oncology treatment. Besides monitoring of the patients, all employees of the Institute (physicians, nurses, researchers, lawyers, accountants, gatekeepers, guardians, janitors) have been tested for a possible exposure. Personnel identified as positive, has been promptly subjected to home quarantine and subdued to health surveillance. One severe case of respiratory distress has been reported in a positive employees and one death of a family member. Further steps to home monitoring of COVID-19 clinical course have been taken with the development of remote Wi-Fi connected digital devices for the detection of early signs of respiratory distress, including heart rate and oxygen saturation. In conclusion cancer care has been performed and continued safely also during COVID-19 pandemic and further remote home strategies are in progress to ensure the appropriate monitoring of cancer patients.

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“…Colorectal cancer Prioritization of cases has followed fully shared decisions by the multidisciplinary team taking into account the experience of other centers in Italy [34]. Patients with nearly obstructing or bleeding colonic cancers have received upfront surgery within the expected 30 days from the diagnosis; a similar approach has been guaranteed for patients with complicated high and low rectal cancers.…”

Section: Speci C Sites Managementmentioning

confidence: 99%

The Clinical and Translational Research Activities at the INT – IRCCS “Fondazione Pascale” Cancer Center (Naples, Italy) during the COVID-19 Pandemic

Buonaguro

Botti

Ascierto

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

COVID-19 pandemic following the outbreak in China and Western Europe, where it finally lost the momentum, is now devastating North and South America. It has not been identified the reason and the molecular mechanisms of the two different patterns of the pulmonary host responses to virus from a minimal disease in young subjects to a severe distress syndrome (ARDS) in older subjects, particularly those with previous chronic diseases (including diabetes) and Cancer. The Management of the Istituto Nazionale Tumori - IRCCS “Fondazione Pascale” in Naples [INT-Pascale], along with all Health professionals decided not to interrupt the treatment of those hospitalized and to continue, even if after a careful triage in order not to allow SARS-CoV-2 positive subjects to access, to take care of cancer patients with serious conditions. Although very few (n=3) patients developed a symptomatic COVID-19 and required the transfer to a COVID-19 area of the Institute, no patients died during the Hospitalization and completed their oncology treatment. Besides monitoring of the patients, all employees of the Institute (physicians, nurses, researchers, lawyers, accountants, gatekeepers, guardians, janitors) have been tested for a possible exposure. Personnel identified as positive, has been promptly subjected to home quarantine and subdued to health surveillance. One severe case of respiratory distress has been reported in a positive employees and one death of a family member. Further steps to home monitoring of COVID-19 clinical course have been taken with the development of remote Wi-Fi connected digital devices for the detection of early signs of respiratory distress, including heart rate and oxygen saturation.In conclusion cancer care has been performed and continued safely also during COVID-19 pandemic and further remote home strategies are in progress to ensure the appropriate monitoring of cancer patients.

show abstract

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

Cited by 29 publications

References 14 publications

Gastrointestinal cancer surgery and enhanced recovery after surgery (ERAS) during COVID-19 outbreak

Gastrointestinal cancer surgery and enhanced recovery after surgery (ERAS) during COVID-19 outbreak

The Clinical and Translational Research Activities at the INT – IRCCS “Fondazione Pascale” Center (Naples, Italy) during the COVID-19 Pandemic

The Clinical and Translational Research Activities at the INT – IRCCS “Fondazione Pascale” Cancer Center (Naples, Italy) during the COVID-19 Pandemic

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