Current Thoracic Surgery 2022 , Vol 7 , Issue 3
Preoperative assessment and outcomes of general thoracic surgery approaches during COVID-19 pandemics
Seray Hazer1,Necati Solak1,Leyla Nesrin Üstün Acar1,Funda İncekara1,Koray Aydoğdu1,Pınar Bıçakçıoğlu1,Göktürk Fındık1,Selim Şakir Erkmen Gülhan1
1Department of Thoracic Surgery, Health Sciences University, Atatürk Chest Disease and Thoracic Surgery Research and Training Hospital, Ankara, Turkey DOI : 10.26663/cts.2022.020 Viewed : 1717 - Downloaded : 740 Background: COVID-19, a novel coronavirus affecting the respiratory system, was diagnosed in China in December 2019. With the pandemic, many new changes had to be made in thoracic surgery clinics.

Materials and Methods: The patients who underwent surgery at Thoracic Surgery Department between March 11, 2020, and October 11, 2020, during the COVID-19 pandemic were evaluated retrospectively. The precautions and new preoperative procedures in our thoracic surgery clinics were analyzed retrospectively.

Results: A total of 1177 patients were treated in thoracic surgery clinics, 299 underwent surgery under general anesthesia during the pandemic, and 948 patients were excluded. Common complications were prolonged air leakage and pleural effusion, and complications occurred in 16.4% of the patients. The mortality rate was 1%. One of the patients with bullae excision due to prolonged air leakage (with COPD) was diagnosed on the fifth postoperative day, another with right pneumonectomy had radiological findings compatible with COVID-19 on the fourth postoperative day, despite negative PCR results four times, and the third patient with thymoma who underwent extended thymectomy without any COVID-19 findings were deceased.

Conclusions: Considering that COVID-19 increases mortality due to increased inflammation and pulmonary involvement, COVID-19 infection co-occurring surgical interventions of the lung will adversely affect the patient’s prognosis and cause an increase in transmission. While caution should always be exercised in all surgical procedures in the pandemic, more severe precautions should be taken in thoracic surgery operations. Implementing comprehensive protective measures such as preoperative PCR test, thorax CT before surgery, quarantine, and disinfection are essential to control nosocomial infection. Keywords : COVID-19, thoracic surgery, pandemics