TY - JOUR T1 - What the pandemic has taught us: a different look at lung cancer surgical treatment. TT - Pandeminin bize öğrettikleri: akciğer kanseri cerrahi tedavisine farklı bir bakış. AU - Boztepe Yeşilçay, Hacer AU - Akdağ, Şencan PY - 2025 DA - October Y2 - 2025 DO - 10.54005/geneltip.1681389 JF - Genel Tıp Dergisi JO - Genel Tıp Derg PB - Selçuk Üniversitesi WT - DergiPark SN - 2602-3741 SP - 934 EP - 942 VL - 35 IS - 5 LA - en AB - Abstract Object: The aim of this study was to evaluate and compare the outcomes of patients who underwent surgery for non-small cell lung cancer in our clinic before and during the COVID-19 pandemic.Materials and Methods: Between March 2019 and June 2021, 185 patients aged over 40 who were operated on at our clinic and were diagnosed with non-small cell lung cancer following pathology were included in the study. Patients who underwent surgery before March 11, 2020 (control group), and those who underwent surgery after this date (pandemic group) were divided into two groups. In both groups, patients without a preoperative diagnosis underwent surgery based on PET-CT findings supporting malignancy. In the pandemic group, additional pre-, intra-, and postoperative measures were in use. In the pandemic group, segmentectomy was preferred to lobectomy in cases with tumour diameter KW - Covid-19 KW - cancer KW - perioperative KW - VATS N2 - Amaç: Bu çalışmada kliniğimizde pandemi öncesi ve pandemi sürecinde küçük hücreli dışı akciğer kanseri tanısı ile opere edilen hastaların sonuçlarını tartışmayı amaçladık.Gereç-Yöntem: Göğüs Cerrahisi Kliniğinde Mart 2019-Haziran 2021 tarihleri arasında opere edilmiş ve patolojik inceleme sonucu küçük hücreli dışı akciğer kanseri tanısı almış 40 yaş üstü 185 olgu çalışmaya dahil edildi. Olgular 11 Mart 2020 öncesi (kontrol grubu) ve sonrası (pandemi grubu) opere edilenler olarak iki gruba ayrıldı. Her iki grupta da preoperatif tanısı olmayan olgular, PET-CT de maligniteyi destekleyen bulgu saptanması nedeniyle opere edildi. Pandemi sürecinde opere edilen gruba preoperatif, intraoperatif ve postoperatif ek önlemler alındı. Pandemi grubunda, tümör çapı CR - 1. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061–1069. CR - 2. Thoracic Surgery Outcomes Research Network, Inc COVID-19 guidance for triage of operations for thoracic malignancies: a consensus statement from thoracic surgery outcomes research network. J Thorac Cardiovasc Surg. 2020; 160:601–605. doi: 10.1016/j.jtcvs.2020.03.06. CR - 3. Rusch VW, Wexner SD; American College of Surgeons COVID-19 Communications Committee, Board of Regents, and Officers. The American College of Surgeons Responds to COVID-19. J Am Coll Surg. 2020 Oct;231(4):490-496. doi: 10.1016/j.jamcollsurg.2020.06.020. CR - 4.Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263. CR - 5.Romaszko-Wojtowicz A, Doboszyńska A, Piechnik A, Kuziemski K, Szplit D, Cofta S, et al. Impact of the COVID-19 pandemic on lung cancer diagnosis in northern Poland. PLoS One. 2024;19(12):e0316261. CR - 6. Reyes R, López-Castro R, Auclin E, García T, Chourio MJ, Rodriguez A, et al. Impact of COVID-19 pandemic in the diagnosis and prognosis of lung cancer. J Thorac Oncol. 2021;16(3):S141. CR - 7.Yang CJ, Wang H, Kumar A, Wang X, Hartwig MG, D'Amico TA, et al. Impact of timing of lobectomy on survival for clinical stage IA lung squamous cell carcinoma. Chest. 2017;152(6):1239-1250. CR - 8.Shipe ME, Haddad DN, Deppen SA, Kozower BD, Grogan EL. Modeling the impact of delaying the diagnosis of non-small cell lung cancer during COVID-19. Ann Thorac Surg. 2021;112(1):248-254. CR - 9.Quarterman RL, McMillan A, Ratcliffe MB, Block MI. Effect of preoperative delay on prognosis for early-stage non-small cell lung cancer. J Thorac Cardiovasc Surg. 2003;125(1):108-113. CR - 10.Kanarek NF, Hooker CM, Mathieu L, Tsai HL, Rudin CM, Herman JG, et al. Survival after community diagnosis of early-stage non-small cell lung cancer. Am J Med. 2014;127(5):443-449. CR - 11.Kato T, Katsuya R, Okado S, Sato K, Noritake O, Nakanishi K, et al. Real-world evidence of safety and influence for lung cancer surgery under COVID-19 pandemic in Japan. J Thorac Dis. 2023;15(2):542-551. CR - 12.Vergnon JM, Trosini-Desert V, Fournier C, Lachkar S, Dutau H, Guibert N, et al. Bronchoscopy use in the COVID-19 era. Respir Med Res. 2020;78:100760. CR - 13.Mondoni M, Sferrazza Papa GF, Rinaldo R, Faverio P, Marruchella A, D'Arcangelo F, et al. Utility and safety of bronchoscopy during the SARS-CoV-2 outbreak in Italy: a retrospective, multicentre study. Eur Respir J. 2020;56(4):2002767. CR - 14.Kapetanakis EI, Tomos IP, Karakatsani A, Koumarianou A, Tomos PI. Management of surgical lung cancer patients during the COVID-19 pandemic in Greece. J Surg Oncol. 2020;122(2):124-127. CR - 15.Goto T. Effect of the coronavirus disease pandemic on bronchoscopic diagnosis of lung cancer in a provincial city in Japan. J Cardiothorac Surg. 2021;16(1):115. CR - 16. Pinheiro L, Santoro IL, Faresin SM. Who needs to be allocated in ICU after thoracic surgery? An observational study. Can Respir J. 2016;2016:3981506. CR - 17.McCall PJ, Macfie A, Kinsella J, Shelley BG. Critical care after lung resection: CALoR 1, a single-centre pilot study. Anaesthesia. 2015;70(12):1382-1389. CR - 18.Peng S, Huang L, Zhao B, Zhou S, Braithwaite I, Zhang N, et al. Clinical course of COVID-19 in 11 patients after thoracic surgery. J Thorac Cardiovasc Surg. 2020;160(2):585-592.e2. CR - 19.Cai Y, Hao Z, Gao Y, Ping W, Wang Q, Peng S, et al. COVID-19 in the perioperative period of lung resection: a brief report from Wuhan. J Thorac Oncol. 2020;15(6):1065-1072. CR - 20.Minervini F, Hanna WC, Brunelli A, Farrokhyar F, Miyazaki T, Bertolaccini L, et al. Outcomes of patients discharged home with a chest tube after lung resection: a multicentre cohort study. Can J Surg. 2022;65(1):E97-E103. UR - https://doi.org/10.54005/geneltip.1681389 L1 - https://dergipark.org.tr/tr/download/article-file/4795904 ER -