Impact of COVID-19 on elective and emergency colorectal surgery

Abstract

Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has led to far-reaching changes in the treatment reality in practically all fields of medicine. Objective: Recommendations on the perioperative management with respect to SARS-CoV‑2 and presentation of the impact of the pandemic on colorectal surgery. Material and methods: A systematic literature search was carried out. Results: Perioperative SARS-CoV‑2 infections lead to a clearly increased postoperative mortality and must be avoided by a structured bundle of measures. The worldwide limitations on screening investigations and treatment options can in the medium term result in an increased mortality due to colorectal cancer. In emergency treatment there was also a substantial reduction in case numbers with the danger of delayed interventions. Conclusion: A rapid normalization of clinical treatment pathways in colorectal surgery is necessary to avoid long-term negative sequelae for patients.