PMC:7224657 / 10617-11833 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7224657","sourcedb":"PMC","sourceid":"7224657","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7224657","text":"4 Conclusion\nÀ l’heure de la pandémie actuelle de COVID-19, plusieurs facteurs entrent en compte dans la balance bénéfice-risque d’une chirurgie carcinologique programmée : les comorbidités de la patiente, le caractère curatif ou non de l’intervention, les alternatives thérapeutiques, les ressources de soins disponibles et son statut COVID-19. Il faut s’interroger sur le bien-fondé de chaque indication chirurgicale et différer chaque intervention qui risque de majorer la morbi-mortalité d’une patiente [1], [2]. Pour les indications opératoires persistantes, des algorithmes décisionnels existent afin d’estimer au mieux le risque infectieux [8]. Reposant notamment sur le dépistage pré-opératoire systématique, ils sont à moduler en fonction des situations sanitaires de chaque établissement et de l’incidence des cas de COVID-19 dans une région donnée. Le bénéfice du report d’une chirurgie est à mettre systématiquement en balance avec la perte de chance qu’il peut générer. Une étude de nos délais de prise en charge avant la pandémie et leur impact sur le pronostic global des patientes permettrait d’estimer ce risque et d’ainsi mieux appréhender quelles indications chirurgicales peuvent être 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