Prioritization, patient selection, and multimodal perioperative management of colorectal cancer facing health-care system saturation.

Objective: The aim is to analyze the usefulness of pre-operative COVID-19 screening to detect asymptomatic patients, the capability of our patient selection algorithm to detect patients with more advanced tumors and the results of colorectal cancer surgery managed with a multimodal approach. We propose the use of a preoperative patient selection algorithm to prioritize the surgical treatment of patients with worse oncological prognosis and lower perioperative risk in situations of health system saturation.

Material And Methods: Prospective descriptive study including 71 patients operated on for colorectal cancer during COVID-19's high incidence period.

Techniques and Safety Issues for Intraperitoneal Chemotherapy.

Different techniques for delivering perioperative intraperitoneal chemotherapy have been described, but no significant differences have been found among them. Hyperthermic intraperitoneal chemotherapy (HIPEC) is a safe treatment for the patient and for the health care workers involved in the procedure provided standard protective and environmental measures are employed.