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

Lucas Hoyos Mejía, Alejandra Romero Román, Mariana Gil Barturen, Maria del Mar Córdoba Pelaez, José Luis Campo Cañaveral de la Cruz, José Manuel Naranjo, Silvana Crolwey Carrasco, Shin Tanaka, Alvaro Sánchez Calle, Andrés Varela de Ugarte, David Gómez de Antonio

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

OBJECTIVES: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

Original languageEnglish
Pages (from-to)991-996
Number of pages6
JournalEuropean Journal of Cardio-Thoracic Surgery
Volume58
Issue number5
DOIs
Publication statusPublished - 2020
Externally publishedYes

Keywords

  • Coronavirus disease 2019
  • Incubation period
  • Postoperative
  • Severe acute respiratory syndrome coronavirus 2
  • Thoracic surgery

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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