Literature DB >> 33146983

Evaluation of uro-oncological surgical treatment during the Sars-CoV-2 pandemic in a Brazilian tertiary oncology institution, the new world epicenter.

Gabriel Carvalho Dos Anjos Silva1,2, Daniel Kanda Abe1,2, Rubens Pedrenho1,2, Rafael Nascimento Vilares1,2, Mauricio Dener Cordeiro1,2, Rafael Ferreira Coelho1,2, William Carlos Nahas1,2.   

Abstract

INTRODUCTION: The rapid spread of coronavirus disease 2019 (COVID-19) has dramatic effects on individuals and health care systems. In our institute, a tertiary oncologic public hospital with high surgical volume, we prioritize maintaining cancer treatment as well as possible. The aim of this study is to evaluate if uro-oncological surgeries at pandemic are safe.
MATERIALS AND METHODS: We evaluated patients who underwent uro-oncological procedures. Epidemiological data, information on COVID-19 infection related to surgery and clinical characteristics of non-survival operative patients with COVID-19 infections were analyzed.
RESULTS: From 213 patients analyzed, Covid-19 symptoms were noticed in 8 patients at preoperative process or at hospital admission postponing operation; 161 patients were submitted to elective surgery and 44 to emergency surgery. From patients submitted to elective surgeries, we had 1 patient with laboratory confirmation of COVID-19 (0,6%), with mild symptoms and quick discharge. From the urgencies group, we had 6(13%)patients tested positive; 5 were taken to ICU with 4 deaths.
CONCLUSION: Elective uro-oncological procedures at the COVID-19 epidemic period in a COVID-19-free Institute are safe, and patients who need urgent procedures, with a long period of hospitalization, need special care to avoid COVID-19 infection and its outcomes. Copyright® by the International Brazilian Journal of Urology.

Entities:  

Keywords:  Oncology Service, Hospital ; COVID-19 [Supplementary Concept] ; Urologic Neoplasms

Year:  2021        PMID: 33146983     DOI: 10.1590/S1677-5538.IBJU.2020.0479

Source DB:  PubMed          Journal:  Int Braz J Urol        ISSN: 1677-5538            Impact factor:   1.541


  1 in total

1.  International Brazilian Journal of Urology Is the Official Information Journal of the American Confederation of Urology - CAU.

Authors:  Luciano A Favorito
Journal:  Int Braz J Urol       Date:  2021 Mar-Apr       Impact factor: 1.541

  1 in total

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