Detailed Abstract
[E-poster - Biliary & Pancreas (Biliary Disease/Surgery)]
[EP 187] The Impact of the War And the COVID-19 Pandemic on Treat-ing Patients with Pancreatic And Periampullary Cancer in Ukraine Is a Multicenter Prospective Review.
Oleksandr KVASIVKA 1, Sergiy ZEMSKOV 3, Ludmyla PERERVA 2, Kostiantyn KOPCHAK 1
1 HPB, National Cancer Institute, UKRAINE, 2 HPB, National Institute of Surgery And Transplantology Named after O.O. Shalimov, UKRAINE, 3 General Surgery And HPB , City Hospital №10 (HPB Center) , UKRAINE
Background : In this report, we would like to share the experience of treating pancreatic cancer in three of the most renowned centers in Ukraine that treated this pathology during the COVID-19 pandemic and the first year of the war.
Methods : The medical records of patients who received surgical treatment for pancreatic cancer and periampullary cancer in three centers in the capital of Ukraine from 2019 to 2022 were retrospectively analyzed. The inclusion criterion was surgical treatment as a radi-cal method of combating pancreatic and periampullary cancer. The primary endpoint of the study was to assess the negative impact of the COVID-19 pandemic and martial law in the country on the surgical treatment of pancreatic and periampullary cancer.
Results : A total of 1069 patients from three centers were included for the period 2019-2022. Centre №1. The COVID-19 restrictions impacted pancreatic surgery for a short period. The Russian aggression led to a significant decrease in surgical activity without normal-ization throughout 2022. Centre №2. There was a decrease in the number of surgical interventions during the COVID-19 period with a gradual recovery. No operations in the first two months of the full-scale invasion of the country. Centre №3. In this center, a single surgeon performed major pancreatic resections. This fact leads to an annual drop to zero in the number of resections during the study period.
Conclusions : Patients in need of complex treatment suffer from both illness and social collapse. The healthcare system is still preparing for such challenges.
Methods : The medical records of patients who received surgical treatment for pancreatic cancer and periampullary cancer in three centers in the capital of Ukraine from 2019 to 2022 were retrospectively analyzed. The inclusion criterion was surgical treatment as a radi-cal method of combating pancreatic and periampullary cancer. The primary endpoint of the study was to assess the negative impact of the COVID-19 pandemic and martial law in the country on the surgical treatment of pancreatic and periampullary cancer.
Results : A total of 1069 patients from three centers were included for the period 2019-2022. Centre №1. The COVID-19 restrictions impacted pancreatic surgery for a short period. The Russian aggression led to a significant decrease in surgical activity without normal-ization throughout 2022. Centre №2. There was a decrease in the number of surgical interventions during the COVID-19 period with a gradual recovery. No operations in the first two months of the full-scale invasion of the country. Centre №3. In this center, a single surgeon performed major pancreatic resections. This fact leads to an annual drop to zero in the number of resections during the study period.
Conclusions : Patients in need of complex treatment suffer from both illness and social collapse. The healthcare system is still preparing for such challenges.
SESSION
E-poster
E-Session 03/21 ALL DAY