The Coronavirus (COVID-19) pandemic had a huge impact on all sectors around the world. In particular, the healthcare system has been subject to an enormous pressure that has surpassed its ability in many instances. Additionally, the pandemic has called for a review of our daily medical practices, including our approach to colorectal cancer management where treatment puts patients at high risk of virus exposure. Given their higher median age, patients are at an increased risk for severe symptoms and complications in cases of infection, especially in the setting of immunosuppression. Therefore, a review of the routine colorectal cancer practices is needed to minimize risk of exposure. Oncologists should weigh risk of exposure versus the patient’s oncologic benefits when approaching management. In addition, treatment protocols should be modified to minimize hospital visits and admissions while maintaining the same treatment efficacy. In this review, we will focus on challenges that colorectal cancer patients face during the pandemic, while highlighting the priority in each case. We will also discuss the evidence for potential modifications to existing treatment plans that could reduce infectious exposure without compromising care. Finally, we will discuss the impact of the socio-economic difficulties faced by Lebanese patients due to a poor economy toppled by an unexpected pandemic.

冠状病毒（COVID-19）大流行对世界各地的所有部门都产生了巨大影响。特别是医疗保健系统承受着巨大的压力，在许多情况下已经超出了其能力。此外，这场大流行要求我们对我们的日常医疗实践进行审查，包括我们的结直肠癌治疗方法，其中治疗使患者面临病毒暴露的高风险。鉴于中位年龄较高，患者在感染时出现严重症状和并发症的风险增加，特别是在免疫抑制的情况下。因此，需要对结直肠癌的常规做法进行审查，以尽量减少暴露风险。肿瘤学家在进行治疗时应权衡暴露风险与患者的肿瘤学益处。此外，应修改治疗方案，以尽量减少医院就诊和入院次数，同时保持相同的治疗效果。在这篇综述中，我们将重点关注结直肠癌患者在大流行期间面临的挑战，同时强调每个案例的优先事项。我们还将讨论对现有治疗计划进行潜在修改的证据，这些修改可以在不影响护理的情况下减少感染暴露。最后，我们将讨论由于突如其来的流行病导致经济不佳而导致黎巴嫩患者面临社会经济困难的影响。