CANCER SURGERY EXPERIENCE IN A UNIVERSITY HOSPITAL SURGICAL ONCOLOGY CLINIC IN THE COVID-19 PANDEMIC
Abstract
Objective
The Coronavirus Disease (Covid-19), which emerged
in the People's Republic of China and turned into a
global epidemic, affected cancer surgery in our country
as well as in the whole universe. Elective surgeries
have been postponed in many countries affected by
the epidemic. In our study, we aimed to reveal the
results of the malignancy operations we performed in
the Süleyman Demirel University Faculty of Medicine,
Surgery Oncology Clinic during the pandemic.
Material and Method
Patients who applied to SDU Faculty of Medicine
Surgical Oncology Outpatient Clinic and were
decided to be operated were included in the study.
Covid-19 test (PCR) was applied to all of them
during preop preparation. In the follow-ups, general
findings of Covid-19, wound conditions and surgical
findings were examined. All patients used surgical
masks before surgery. Doctors and other healthcare
professionals wore surgical masks and disposable
latex gloves during their visits and examinations.
Results
Between March 10, 2020 and June 31, 2021, 138
patients diagnosed with malignancy were operated
at SDU Faculty of Medicine, Department of Surgical
Oncology. None of the preoperative patients had
Covid-19 symptoms (fever, cough or fatigue).
Covid-19 (PCR) test was positive in 2 patients
(stomach and breast cancer). The positive patients
were isolated and the operation was postponed. No
Covid-19 symptoms were observed in any patient in
the postoperative 15-day period. All patients were
discharged without complications.
Conclusion
During the Covid-19 Pandemic, the correct
management of cancer patients within the surgical
indication is important in terms of both preventing
deaths due to emergencies and applying the right
treatment. It has been shown that cancer patients
can be operated safely during the pandemic period,
provided that the necessary precautions are taken for
the surgical team and patients.
Keywords
References
- Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J et al (2020) Clinical characteristics of 138 hospitalized patients with 2019 Novel Coronavirus-infected pneumonia in Wuhan, China. JAMA 323(11):1061–1069
- Novel Coronavirus (2019-nCoV) situation reports [Internet]. [cited 2020 Apr 8]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports.
- World Health Organization . WHO Director‐General's opening remarks at the media briefing on COVID‐19, March 11, 2020. Available at https://www.who.int/dg/speeches/detail/who‐director‐general‐s‐opening‐remarks‐at‐the‐media‐briefing‐on‐covid‐19—11‐march‐2020.
- March 24 O, 2020. COVID-19 Guidelines for Triage of Cancer Surgery Patients [Internet]. American College of Surgeons. [cited 2020 Apr 9]. Available from. https://www.facs.org/covid-19/clinical-guidance/elective-case/cancer-surgery
- Karaca AD, Ozmen MM, Ucar AD, Yasti AC, Demirer S "General surgery operating room practice in patients with COVID-19." Turkish Journal of Surgery 36.1 (2020): i.
- Balakrishnan A, Lesurte M, Siriwardena AK, Heinrich S, Serrablo A, Besselink MGH et al. Delivery of hepato‐pancreato‐biliary surgery during the COVID‐19 pandemic: an European‐African HepatoPancreato‐Biliary Association (E‐ AHPBA) cross‐sectional survey. HPB. 2020;2(8):1128‐1134.
- Nunoo‐Mensah JW, Rizk M, Caushaj PF, Giordano P, Fortunato R, Dulskas A et al. COVID‐19 and the global impact on colorectal practice and surgery. Clin Colorectal Cancer. 2020; 19:178‐190.e1.
- Lei S, Jiang F, Su W, Chen C, Chen J, Mei W et al. Clinical characteristics and outcomes of patients un‐ dergoing surgeries during the incubation period of COVID‐19 infection. EClinicalMedicine. 2020;71:100331
- COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS‐CoV‐2 in- fection: an international cohort study. Lancet. 2020;396:27‐38.
- Alimoglu O, Erol C, Kilic F, Baysal H. Cancer surgery during the COVID‐19 pandemic in Turkey. Int J Surg. 2020;79:54‐55.
- Liang W, Guan W, Chen R, Wang W, Li J, Xu K et al. Cancer patients in SARS‐CoV‐2 infection: A nationwide analysis in China. Lancet Oncol 2020;21:335–337.
- Yu J, Ouyang W, Chua MLK, Xie C. SARS‐CoV‐2 transmission in cancer patients of a tertiary hospital in Wuhan. JAMA Oncol 2020.
- The Cancer Letter . What to expect: Oncology's response to coronavirus in Italy: “It's like being in a war”. Available at https://cancerletter.Com/articles/20200311_1/. Accessed March 13, 2020.
- Kristian S, Todd M, Alireza M. Considerations in the triage of urologic surgeries during the COVID-19 pandemic. Eur Urol 2020 Jun;77(6):663-666.
COVİD-19 PANDEMİSİNDE BİR ÜNİVERSİTE HASTANESİ CERRAHİ ONKOLOJİ KLİNİĞİNDE KANSER CERRAHİSİ DENEYİMİ
Abstract
Amaç
Çin Halk Cumhuriyeti’nde ortaya çıkan ve küresel olarak
salgına dönüşen Koronavirüs Hastalığı (Covid-19)
bütün evrende olduğu gibi ülkemizde de kanser cerrahisini
etkiledi. Salgının etkilediği birçok ülkede elektif
ameliyatlar ertelendi. Çalışmamızda pandemide
Süleyman Demirel Üniversitesi Tıp Fakültesi Cerrahi
Onkoloji Kliniği’nde yaptığımız malignite operasyonlarının
sonuçlarını ortaya koymayı amaçladık.
Gereç ve Yöntem
SDÜ Tıp Fakültesi Cerrahi Onkoloji Polikliniği’ ne başvuran
ve ameliyat edilmesi gerektiğine karar verilen
hastalar çalışmaya dahil edildi. Hepsine preoperatif
hazırlık sırasında Covid - 19 testi (PCR) uygulandı.
Takiplerde Covid - 19' un genel bulguları, yara durumları
ve cerrahi bulgular incelendi. Ameliyat öncesi tüm
hastalar cerrahi maske kullandılar. Doktorlar ve diğer
sağlık personelleri vizitleri esnasında ve muayeneleri
esnasında cerrahi maske taktılar ve tek kullanımlık lateks
eldivenler kullandılar.
Bulgular
SDÜ Tıp Fakültesi Cerrahi Onkoloji Kliniği’ nde 10
Mart 2020 ve 31 Haziran 2021 tarihleri arasında 138
malignite tanısı konulan hasta ameliyat edildi. Ameliyat
öncesi hastaların hiçbirinde Covid - 19 semptomları
(ateş, öksürük veya yorgunluk) yoktu. 2 hastada
(mide ve meme kanseri) Covid – 19 (PCR) testi pozitif
geldi. Pozitif gelen hastalar izole edilerek operasyonu
ertelendi. Postoperatif 15 günlük dönemde hiçbir hastada
Covid - 19 semptomu görülmedi. Tüm hastalar
komplikasyonsuz bir şekilde taburcu edildiler.
Sonuç
Covid - 19 Pandemisi süresince kanser hastalarının
cerrahi endikasyon dahilinde doğru yönetilmesi hem
acil durumlara bağlı ölümlerin önüne geçilmesi, hem
de doğru tedavi uygulanması açısından önemlidir.
Cerrahi ekip ve hastalar için gerekli önlemlerin alınması
şartıyla, kanser hastalarının pandemi döneminde
güvenli şekilde ameliyat edilebileceği gösterilmiştir.
Keywords
References
- Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J et al (2020) Clinical characteristics of 138 hospitalized patients with 2019 Novel Coronavirus-infected pneumonia in Wuhan, China. JAMA 323(11):1061–1069
- Novel Coronavirus (2019-nCoV) situation reports [Internet]. [cited 2020 Apr 8]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports.
- World Health Organization . WHO Director‐General's opening remarks at the media briefing on COVID‐19, March 11, 2020. Available at https://www.who.int/dg/speeches/detail/who‐director‐general‐s‐opening‐remarks‐at‐the‐media‐briefing‐on‐covid‐19—11‐march‐2020.
- March 24 O, 2020. COVID-19 Guidelines for Triage of Cancer Surgery Patients [Internet]. American College of Surgeons. [cited 2020 Apr 9]. Available from. https://www.facs.org/covid-19/clinical-guidance/elective-case/cancer-surgery
- Karaca AD, Ozmen MM, Ucar AD, Yasti AC, Demirer S "General surgery operating room practice in patients with COVID-19." Turkish Journal of Surgery 36.1 (2020): i.
- Balakrishnan A, Lesurte M, Siriwardena AK, Heinrich S, Serrablo A, Besselink MGH et al. Delivery of hepato‐pancreato‐biliary surgery during the COVID‐19 pandemic: an European‐African HepatoPancreato‐Biliary Association (E‐ AHPBA) cross‐sectional survey. HPB. 2020;2(8):1128‐1134.
- Nunoo‐Mensah JW, Rizk M, Caushaj PF, Giordano P, Fortunato R, Dulskas A et al. COVID‐19 and the global impact on colorectal practice and surgery. Clin Colorectal Cancer. 2020; 19:178‐190.e1.
- Lei S, Jiang F, Su W, Chen C, Chen J, Mei W et al. Clinical characteristics and outcomes of patients un‐ dergoing surgeries during the incubation period of COVID‐19 infection. EClinicalMedicine. 2020;71:100331
- COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS‐CoV‐2 in- fection: an international cohort study. Lancet. 2020;396:27‐38.
- Alimoglu O, Erol C, Kilic F, Baysal H. Cancer surgery during the COVID‐19 pandemic in Turkey. Int J Surg. 2020;79:54‐55.
- Liang W, Guan W, Chen R, Wang W, Li J, Xu K et al. Cancer patients in SARS‐CoV‐2 infection: A nationwide analysis in China. Lancet Oncol 2020;21:335–337.
- Yu J, Ouyang W, Chua MLK, Xie C. SARS‐CoV‐2 transmission in cancer patients of a tertiary hospital in Wuhan. JAMA Oncol 2020.
- The Cancer Letter . What to expect: Oncology's response to coronavirus in Italy: “It's like being in a war”. Available at https://cancerletter.Com/articles/20200311_1/. Accessed March 13, 2020.
- Kristian S, Todd M, Alireza M. Considerations in the triage of urologic surgeries during the COVID-19 pandemic. Eur Urol 2020 Jun;77(6):663-666.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Surgery |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | September 30, 2022 |
| Submission Date | February 12, 2022 |
| Acceptance Date | March 15, 2022 |
| Published in Issue | Year 2022 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.