Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre Implications for Cancer Care Policy
Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre Implications for Cancer Care Policy
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DOI：
10.1097/sla.0000000000004116
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发表时间：
2020-09-01
影响因子：
9
通讯作者：
Badwe, Rajendra A.
中科院分区：
文献类型：
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作者：
Shrikhande, Shailesh V.;Pai, Prathmesh S.;Badwe, Rajendra A.
背景：不堪重负的系统和对不良后果的担忧导致癌症手术延迟，造成毁灭性的后果。在这场COVID大流行中，继续进行选择性癌症手术的决定及其后续结果，从热点地区很少有报道。方法：对2020年3月23日至4月30日外科肿瘤科前瞻性数据库进行分析。结果：进行了494例择期手术(377例未经检测，117例在手术前进行了Covid19检测)。中位年龄48岁，60岁以上占13%()。美国麻醉学会(ASA)I级占68%，低级(I~III级)71例(14例，4%)，高级(IV~VI级)423例(85.6%)。Clavien-Dindo>；=III级并发症发生率为5.6%(n=28)，无术后死亡。60年的患者记录了9.3%的主要并发症，而
Background: Overburdened systems and concerns of adverse outcomes have resulted in deferred cancer surgeries with devastating consequences. In this COVID pandemic, the decision to continue elective cancer surgeries, and their subsequent outcomes, are sparsely reported from hotspots. Methods: A prospective database of the Department of Surgical Oncology was analysed from March 23rd to April 30th, 2020. Findings: Four hundred ninety-four elective surgeries were performed (377 untested and 117 tested for Covid 19 before surgery). Median age was 48 years with 13% (n = 64) above the age of 60 years. Sixty-eight percent patients were American Society of Anaesthesiology (ASA) grade I. As per surgical complexity grading, 71 (14 center dot 4%) cases were lower grade (I-III) and 423 (85.6%) were higher grade complex surgeries (IV - VI). Clavien-Dindo >= grade III complications were 5.6% (n = 28) and there were no postoperative deaths. Patients >60 years documented 9.3% major complications compared to 5.2% in