许多文章描述了COVID-19大流行期间手术数量的急剧下降。特别是在肿瘤和紧急手术方面的减少引发了对延误和取消手术可能导致可预防死亡增加的担忧。我们对奥地利一家三级医院的手术总量和手术类型进行了分析，时间范围为冬季期间（10月至4月），从2015/16年到2021/22年。将2019/20年、2020/21年和2021/22年的上半年定义为大流行期的上半年，并与之前四个非大流行期上半年的平均结果进行了比较。 结果发现，在2019/20年（4.62％；p < 0.0001和12.14％；p < 0.0001，分别）和2021/22年（14.94％；p < 0.0001和34.27％；p < 0.0001，分别），整体手术数量和择期手术有所减少。肿瘤手术在2021/22年有所增加（-12.59％；p < 0.0001），在其他时期保持不变。紧急手术在2019/20年（-6.97％；p < 0.0001）和2021/22年（-9.44％；p < 0.0001）有所增加，并在2020/21年保持不变。 我们医院的数据并不支持大流行导致肿瘤和紧急手术减少的观点。具有中央协调的、遵循医院弹性建议的、基于日常资源分配的灵活方案可能有助于应对COVID-19大流行在前三个大流行期上半年的影响。 © 2023年。外科肿瘤学学会。

Many articles described a massive decline in surgical procedures during the COVID-19 pandemic waves. Especially the reduction in oncologic and emergency procedures led to the concern that delays and cancelling surgical activity might lead to a substantial increase in preventable deaths.Overall numbers and types of surgery were analysed in a tertiary hospital in Austria during the winter period (October-April) from 2015/16 to 2021/22. The half-years 2019/20, 2020/21 and 2021/22 were defined as pandemic half-years and were compared with the mean results of the previous, four, pre-pandemic half-years.A reduction was found for overall numbers and elective surgeries during 2019/20 (4.62%; p < 0.0001 and 12.14; p < 0.0001 respectively) and 2021/22 (14.94%; p < 0.0001 and 34.27; p < 0.0001 respectively). Oncologic surgery increased during 2021/22 (- 12.59%; p < 0.0001) and remained unchanged during the other periods. Emergency surgeries increased during 2019/20 (- 6.97%; p < 0.0001) and during 2021/22 (- 9.44%; p < 0.0001) and remained unchanged during 2020/21.The concern that the pandemic led to a decrease in oncologic and emergency surgeries cannot be supported with the data from our hospital. A flexible, day-by-day, resource allocation programme with central coordination adhering to hospital resilience recommendations may have helped to adapt to the impact of the COVID-19 pandemic during the first three pandemic half-years.© 2023. Society of Surgical Oncology.