Cancer surgery during the Covid-19 pandemic in Turkey

Ali̇moğlu, Orhan; Erol, Cem Ilgın; Kilic, Furkan; Baysal, Hakan

doi:10.1016/j.ijsu.2020.05.040

Cited by 12 publications

(11 citation statements)

References 3 publications

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“…21 Nevertheless, a study comprising 39 perioperative cancer patients failed to show any SARS-CoV2 infection before or after surgical procedures with adequate necessary protective measures. 22 We achieved good clinical outcomes regarding SARS-CoV2 or non-SARS-CoV2 related 30-day morbidity (0.2% and 19.3%, respectively) and mortality (0.2% and 1.7%, respectively). Three patients (0.8%) were diagnosed with preoperative COVID-19 infection during the study period, and one patient (0.2%) was diagnosed postoperatively by RT-PCR and chest CT.…”

Section: Discussionmentioning

confidence: 77%

Is elective cancer surgery feasible during the lock‐down period of the COVID‐19 pandemic? Analysis of a single institutional experience of 404 consecutive patients

Kulle

Azamat

Vatansever

et al. 2021

Journal of Surgical Oncology

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Background We aimed to assess the feasibility and short‐term clinical outcomes of surgical procedures for cancer at an institution using a coronavirus disease 2019 (COVID‐19)‐free surgical pathway during the peak phase of the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) pandemic. Materials and Methods This was a single‐center study, including cancer patients from all surgical departments, who underwent elective surgical procedures during the first peak phase between March 10 and June 30, 2020. The primary outcomes were the rate of postoperative SARS‐CoV‐2 infection and 30‐day pulmonary or non‐pulmonary related morbidity and mortality associated with SARS‐CoV‐2 disease. Results Four hundred and four cancer patients fulfilling inclusion criteria were analyzed. The rate of patients who underwent open and minimally invasive procedures was 61.9% and 38.1%, respectively. Only one (0.2%) patient died during the study period due to postoperative SARS‐CoV2 infection because of acute respiratory distress syndrome. The overall non‐SARS‐CoV2 related 30‐day morbidity and mortality rates were 19.3% and 1.7%, respectively; whereas the overall SARS‐CoV2 related 30‐day morbidity and mortality rates were 0.2% and 0.2%, respectively. Conclusions Under strict institutional policies and measures to establish a COVID‐19‐free surgical pathway, elective and emergency cancer operations can be performed with acceptable perioperative and postoperative morbidity and mortality.

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Section: Discussionmentioning

confidence: 77%

Is elective cancer surgery feasible during the lock‐down period of the COVID‐19 pandemic? Analysis of a single institutional experience of 404 consecutive patients

Kulle

Azamat

Vatansever

et al. 2021

Journal of Surgical Oncology

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“…[ 1 26 29 30 ] Controversy existed regarding the results of the few published articles regarding the efficacy of such testing protocols. Some articles reported no cross-infection despite restricted testing regimens,[ 26 29 31 ] while others have shown the contrary. [ 5 27 28 ] Arguably, pending on the safety side might necessitate testing all patients scheduled for surgery, given the compelling issue of asymptomatic and presymptomatic patients; However, the practicality and cost-effectiveness of such an approach are yet to be validated.…”

Section: Resultsmentioning

confidence: 99%

Directives of general surgical practice during the COVID-19 pandemic

Omer

2021

Journal of Education and Health Promotion

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The coronavirus disease 2019 (COVID-19) is a serious global pandemic that has extremely affected health-care systems. This article aimed to review the perspectives of general surgical practice during the COVID-19 pandemic. A systematic review of the literature addressing modification to general surgical practice during the COVID-19 pandemic indexed in PubMed, Scopus, Google, and Google scholar was carried out on June 19–20, 2020. The literature review yielded 577 articles. The exclusion of duplication, articles not in English, and specialized ones in various surgical disciplines precluded 398 articles. Finally, following checking for relevance and publication status, 114 papers were included. Recommendations for surgical practice during the COVID-19 pandemic revolved around mitigation of the risk of virus transmission to patients and health-care workers. The emerging themes of safety precautions were related to patient prioritization and testing, mindful consideration of the operative strategy, optimum use of personal protective equipment, operative room setup, and departmental organization. However, those recommendations were often diverging and bore on a dearth of evidence and personal opinions. Multidisciplinary work and cooperation among surgical specialties are required to establish and validate the protocols for safe surgical practice during the pandemic and perhaps similar crises in future. The COVID-19 pandemic has brought several challenges to the field of medicine, including the surgical specialty. The centrality of safety precautions emerging in this crisis requires surgeons to adopt the new roles and work standards and translate them into practice during the pandemic and perhaps longer.

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“…In a study by Polat et al on 200 patients who had undergone gynecological cancer surgery, no patient was diagnosed with COVID-19, but suspicious computed tomography findings were found in two patients (19). In another study by Alimoglu et al, in 39 patients who were operated on with a diagnosis of cancer, none of the patients had COVID-19 symptoms in the postoperative period (20). Our study and similar studies like this suggest that treatment procedures performed in accordance with health policy strategies and rules are safe and operations do not adversely affect the pandemic.…”

Section: Discussionmentioning

confidence: 98%

Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience

Toptaş

Ünlübilgin

Kinay

et al. 2021

Gynecol Obstet Reprod Med

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OBJECTIVE: The objective of this study was to determine the incidence of perioperative “severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)” infection among women, operated during Coronavirus disease-2019 (COVID-19) era. STUDY DESIGN: All patients who were operated on between March 11, 2020, and December 31, 2020, in our gynecology clinic were included in this cross-sectional study. The clinical and demographic characteristics of the patients, preoperative and postoperative SARS-CoV-2 positivity, the progress of the infection, and the survival rates in positive cases were analyzed. COVID-19 cases were diagnosed by reverse transcription-polymerase chain reaction testing for SARS-CoV-2. RESULTS: Operations of 133 (33%) of 406 patients were canceled for various reasons. 275 patients were operated on. Preoperatively three patients were diagnosed with COVID-19. One of these patients died and two were operated on after treatment and self-isolation. Only one (0.4%) patient was diagnosed with COVID-19 30 days postoperatively and completely recovered. We calculated the perioperative SARS-CoV-2 positivity rate as 1.4% (276 surgeries were planned and 4 patients were diagnosed with COVID-19). During the study, 107 physicians worked in our clinic alternately. Two (1.8%) of these physicians were diagnosed with COVID-19 and completely recovered without the need for intensive care. In addition, nine patients who were previously diagnosed with COVID-19 were operated on. Postoperative respiratory and other system complications did not occur in nine patients, previously diagnosed with COVID-19. CONCLUSION: The results of our study show that gynecological surgical procedures do not increase the transmission and mortality rates of SARS-CoV-2 among patients and healthcare professionals as long as infection control measures are followed.

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Cancer surgery during the Covid-19 pandemic in Turkey

Cited by 12 publications

References 3 publications

Is elective cancer surgery feasible during the lock‐down period of the COVID‐19 pandemic? Analysis of a single institutional experience of 404 consecutive patients

Is elective cancer surgery feasible during the lock‐down period of the COVID‐19 pandemic? Analysis of a single institutional experience of 404 consecutive patients

Directives of general surgical practice during the COVID-19 pandemic

Perioperative SARS-CoV-2 Infection in Patients Undergoing Elective Surgery in Gynecology Clinic: Tertiary Center Experience

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