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Thoracic surgery during the coronavirus disease 2019 (COVID-19) pandemic in Madrid, Spain: single-centre report.

Authors
  • Hoyos Mejía, Lucas1
  • Romero Román, Alejandra1
  • Gil Barturen, Mariana1
  • Córdoba Pelaez, Maria Del Mar1
  • Campo-Cañaveral de la Cruz, José Luis1
  • Naranjo, José Manuel1
  • Crolwey Carrasco, Silvana1
  • Tanaka, Shin1
  • Sánchez Calle, Alvaro1
  • Varela de Ugarte, Andrés1
  • Gómez de Antonio, David1
  • 1 Department of Thoracic Surgery and Lung Transplantation, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain. , (Spain)
Type
Published Article
Journal
European Journal of Cardio-Thoracic Surgery
Publisher
Oxford University Press
Publication Date
Nov 01, 2020
Volume
58
Issue
5
Pages
991–996
Identifiers
DOI: 10.1093/ejcts/ezaa324
PMID: 33084869
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

We reviewed the incidence of coronavirus disease 2019 cases and the postoperative outcomes of patients who had thoracic surgery during the beginning and at the highest point of transmission in our community. We retrospectively reviewed patients who had undergone elective thoracic surgery from 12 February 2020 to 30 April 2020 and were symptomatic or tested positive for severe acute respiratory syndrome coronavirus 2 infection within 14 days after surgery, with a focus on their complications and potential deaths. Out of 101 surgical procedures, including 57 primary oncological resections, 6 lung transplants and 18 emergency procedures, only 5 cases of coronavirus disease 2019 were identified, 3 in the immediate postoperative period and 2 as outpatients. All 5 patients had cancer; the median age was 64 years. The main virus-related symptom was fever (80%), and the median onset of coronavirus disease 2019 was 3 days. Although 80% of the patients who had positive test results for severe acute respiratory syndrome coronavirus 2 required in-hospital care, none of them were considered severe or critical and none died. These results indicate that, in properly selected cases, with short preoperative in-hospital stays, strict isolation and infection control protocols, managed by a dedicated multidisciplinary team, a surgical procedure could be performed with a relatively low risk for the patient. © The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

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