新型冠状病毒肺炎疫情下肝癌患者外科诊疗的思考与建议

Thoughts and suggestions on surgical diagnosis and treatment of liver cancer patients during epidemic of COVID-19

新型冠状病毒肺炎(新冠肺炎)对人民的生命健康造成了巨大的威胁。在新冠肺炎疫情下,如何应对肝胆外科肝癌患者的门诊筛查、病房管理以及安全地实施肝癌手术,都是对肝胆外科医师提出的新挑战。我们认为,该病的临床处置应在筛查新冠肺炎的前提下,遵循正规操作流程,做好充分防护。对于需要急诊治疗但无法排除新冠肺炎的肝癌患者,须综合考虑患者的病情严重程度、手术方式及手术室条件,慎重制定个体化治疗方案。整个诊疗过程必须遵从既保证患者的安全及疗效,又要降低医护人员感染风险的原则。

The epidemic of novel coronavirus pneumonia(COVID-19)poses a huge threat to the people’s life and health.During the epidemic of COVID-19,hepatobiliary surgeons are facing new challenges,such as how to deal with outpatient screening and ward management in department of hepatobiliary surgery and how to ensure safe surgical operations of liver cancer.We believe that clinical treatment of liver cancer should abide by the standard operating procedures and include adequate protection measures on the premise of the COVID-19 screening.For the patients with liver cancer who require an emergency treatment but cannot be excluded from COVID-19,their illness severity,surgical approach and operating room conditions should be comprehensively taken into consideration,and personalized treatment regimen should be carefully formulated.In the entire diagnosis and treatment process,the principles of both ensuring the safety and treatment efficacy of patients and reducing the infection risk of medical staff should be followed.