Marin Valeriu Șurlin (Craiova / RO), Daniel Preda (Craiova / RO), S. Râmboiu (Craiova / RO), Daniela Marinescu (Craiova / RO), S. Săndulescu (Craiova / RO), Silviu Bordu (Craiova / RO), Cosmin Obleagă (Craiova / DE), Mihai Ciorbagiu (Craiova / DE), D. Vilcea (Craiova / DE), Ovidiu Budisca (Târgu Mureș / RO), C. Nicolaescu (Târgu Mureș / RO), Valentin Strugari (Târgu Mureș / RO), Ludovic-Alexandru Szanto (Târgu Mureș / RO), Mihai Bălan (Târgu Mureș / RO), Izabella Varga (Târgu Mureș / RO), Daria Malache (Târgu Mureș / RO), Vladimir Bacarea (Târgu Mureș / RO), B. Suciu (Târgu Mureș / RO), Călin Molnar (Târgu Mureș / RO), Tamas Talpai (Timișoara / RO), Catalin Pârvu (Timișoara / RO), Stelian Pantea (Timișoara / RO), Octavian Andronic (Bucharest / RO), Dan Nicolae Păduraru (Bucharest / RO), Alexandra Bolocan (Bucharest / RO), Ion Daniel (Bucharest / RO), Marius Anastasiu (Buzău / RO), Claudiu Ș. Turculet (Bucharest / RO), M. Stana (Bucharest / RO), I.C. Perpelea (Bucharest / RO), A.S. Brânzilă (Cluj-Napoca / RO), N. Al Hajjar (Cluj-Napoca / RO), C. Puia (Cluj-Napoca / RO), C. Iancu (Cluj-Napoca / RO), Adrian Bartos (Cluj-Napoca / RO)
Abstract text (incl. references and figure legends)
Introduction: Surgical management of patients with colorectal cancer (CCR) was altered during the COVID pandemic. We hypothesise that the number of colorectal cancer patients treated in emergency increased compared to pre-pandemic period.
Material and methods: We performed a multicentric retrospective study which included patients with colorectal cancer which were admitted and surgically treated in 8 centers in Romania from 2018 to 2021. We compared the data of cases from the prepandemic years 2018 and 2019 to the pandemic years of 2020 and 2021.
Results: out of total of 3522 CCR patients, 1336 cases were acute cases: 693 (51.87%) in the prepandemic years and 643 (48.13%) in the pandemic years. For right colon cancer, hemorrhagic (114 vs 50, 39.02% difference) and perforating complications (39 vs 22, 27.87% difference) where more prevalent in the pandemic years. Right hemicolectomy was performed in all cases, anastomosis in 140 cases in the prepandemic years and in 138 cases in the pandemic years (0.78% difference), while a terminal ileostomy without anastomosis was performed in 17 cases prepandemic versus 26 cases pandemic (20.93% difference). For transverse colon tumors, obstructive tumors where more prevalent in the prepandemic years (54 vs 46, difference 8%); but hemorrhagic cases (12 vs 8 cases, difference of 20%) and perforation occured more frequently in the pandemic years (3 vs 5, difference of 25%). Resection with anastomosis was performed more frequently in the prepandemic years (37 vs 32 cases, difference of 7.25%) and resection with an ostomy was performed in 9.09% more cases in the pandemic years (10 cases in the prepandemic years vs 12 cases in the pandemic years).Regarding left colon (descending/sigmoid colon) obstruction was more frequent in the prepandemic years (328 vs 288; 6.49% difference). Colonic resection with anastomosis (136 vs 119 cases, 6.67% difference), with ostomy (201 vs 187 cases, 3.61% difference) and diverting stomas without resection (26 vs 20 cases, 13.04% difference) where all more prevalent in the prepandemic years. For rectal tumors, obstructive (305 vs 221, 15.97% difference) and hemorrhagic complications were more frequent in prepandemic, while perforation was higher in the pandemic years (5 vs 15 cases, 50% difference).
Conclusions. We expected to find a higher proportion of acute cases during pandemic years, but the results were surprisingly reverse. One possible explanation is the differences in regulations between centers regarding admission and surgery of cancer patients.
Disclosure: Do you have a significant financial interest, consultancy or other relationship with products, manufacturer(s) of products or providers of services related to this abstract? (If not, please enter "No" in the text field.)
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