Due to COVID 19 (Corona virus disease)pandemic, majority of surgeries, including surgery for cancer patients got delayed across the globe. Surgeries were limited to emergency set up only. At our institute we tried to perform colorectal cancer surgeries through out the pandemic, albeit in less numbers, as we thought cancer in itself is an emergency setting. we are planning to analyse the prospectively managed database of this particular group of patients over a period of last six 6 months and look out at 30 day post operative morbidity and mortality. Besides we will try to analyse the implications of our decision to carry on with cancer surgeries in terms of number of health care workers who got infected while being involved in primary care of these patients.
INTRODUCTION Health systems all across the globe have been under tremendous stress due to
COVID 19 pandemic. Based on information suggesting that India was faring better compared to
the west [1] and that oncology patients were likely to get deferred care with significant
implications [2], the department of general surgery (colorectal division) took a conscious
decision to continue offering elective cancer surgeries albeit in less numbers.in this study
we will try to collect 30 day post operative outcome data of elective colorectal cancer
resections at our department and discuss the implications of our decision.
Such reports are still sparsely reported from Covid hotspots around the world.
Methods:
We will analyze the prospective database of the department of colorectal surgery at Sheri
Kashmir Institute of Medical Sciences, Srinagar, a tertiary referral centre and a high volume
centre for colorectal cancer surgeries ( with more than 300 colorectal cancer surgeries
performed every year) in North India wef 23rd March to 22nd September 2020 (6 months).and
report outcomes of all elective colorectal cancer surgeries. Each patient will be followed up
for 30 days, thereby last follow up will end on 22nd October 2020.
All colorectal cancer patients subjected to elective and emergency surgeries during COVID 19
pandemic will be included. Patients who were positive for SARS CoV2 (Severe acute respiratory
syndrome coronavirus 2) infection and underwent surgery for colorectal cancer will be
excluded.
The data will be statistically analysed using Statistical Product and Statistical
Solutions(SPSS) sotware v 23. All categorical variables will be shown in the form of
frequency and percentage. Continuous variables will further be analysed by independent t test
and using multivariate analysis.
Procedure: Colorectal resections
All patients admitted with colorectal cancer were subjected to various types of colorectal resections
Inclusion Criteria:
- colorectal cancer patients subjected to surgery during COVID 19 pandemic
Exclusion Criteria:
- SARS CoV 2 infected patients
Sher i Kashmir Institute of Medical Sciences
Srinagar, J&K, India
Nisar A Chowdri, Study Chair
Government organisation