OBJECTIVES: Since the outbreak of the novel coronavirus disease 2019 (COVID-19), all health services worldwide underwent profound changes, leading to the suspension of many elective surgeries. This study aimed to evaluate the safety of elective colorectal surgery during the pandemic. METHODS: This was a retrospective, cross-sectional, single-center study. Patients who underwent elective colorectal surgery during the COVID-19 pandemic between March 10 and September 9, 2020, were included. Patient data on sex, age, diagnosis, types of procedures, hospital stay, mortality, and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) preoperative screening tests were recorded. RESULTS: A total of 103 colorectal surgical procedures were planned, and 99 were performed. Four surgeries were postponed due to positive preoperative screening for SARS-CoV-2. Surgical procedures were performed for colorectal cancer (n=90) and inflammatory bowel disease (n=9). Laparoscopy was the approach of choice for 43 patients (43.4%), 53 (53.5%) procedures were open, and 3 (3%) procedures were robotic. Five patients developed COVID-19 in the postoperative period, and three of them died in the intensive care unit (n=3/5, 60% mortality). Two other patients died due to surgical complications unrelated to COVID-19 (n=2/94, 2.1% mortality) (p<0.01). Hospital stay was longer in patients with SARS-CoV-2 infection than in those without (38.4 versushttps://doi.org/10.3 days, respectively, p<0.01). Of the 99 patients who received surgical care during the pandemic, 94 were safely discharged (95%). CONCLUSION: Our study demonstrated that elective colorectal surgical procedures may be safely performed during the pandemic; however, preoperative testing should be performed to reduce in-hospital infection rates, since the mortality rate due to SARS-CoV-2 in this setting is particularly high.
OBJECTIVES: Since the outbreak of the novel coronavirus disease 2019 (COVID-19), all health services worldwide underwent profound changes, leading to the suspension of many elective surgeries. This study aimed to evaluate the safety of elective colorectal surgery during the pandemic. METHODS: This was a retrospective, cross-sectional, single-center study. Patients who underwent elective colorectal surgery during the COVID-19 pandemic between March 10 and September 9, 2020, were included. Patient data on sex, age, diagnosis, types of procedures, hospital stay, mortality, and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) preoperative screening tests were recorded. RESULTS: A total of 103 colorectal surgical procedures were planned, and 99 were performed. Four surgeries were postponed due to positive preoperative screening for SARS-CoV-2. Surgical procedures were performed for colorectal cancer (n=90) and inflammatory bowel disease (n=9). Laparoscopy was the approach of choice for 43 patients (43.4%), 53 (53.5%) procedures were open, and 3 (3%) procedures were robotic. Five patients developed COVID-19 in the postoperative period, and three of them died in the intensive care unit (n=3/5, 60% mortality). Two other patients died due to surgical complications unrelated to COVID-19 (n=2/94, 2.1% mortality) (p<0.01). Hospital stay was longer in patients with SARS-CoV-2 infection than in those without (38.4 versushttps://doi.org/10.3 days, respectively, p<0.01). Of the 99 patients who received surgical care during the pandemic, 94 were safely discharged (95%). CONCLUSION: Our study demonstrated that elective colorectal surgical procedures may be safely performed during the pandemic; however, preoperative testing should be performed to reduce in-hospital infection rates, since the mortality rate due to SARS-CoV-2 in this setting is particularly high.
Authors: Sergio Carlos Nahas; José Donizeti de Meira-JÚnior; Lucas Faraco Sobrado; Maurício Sorbello; Vanderlei Segatelli; Edson Abdala; Ulysses Ribeiro-JÚnior; Ivan Cecconello Journal: Arq Bras Cir Dig Date: 2020-11-20
Authors: Sergio Conti Ribeiro; Ana Luisa F Lauletta; Beatriz Couto Franco; Renata L Araujo Bezerra; Diana G B Salles Vanni; Edmund C Baracat Journal: Clinics (Sao Paulo) Date: 2020-08-03 Impact factor: 2.365
Authors: Sergio Carlos Nahas; José Donizeti de Meira Júnior; Caio Sergio Rizkallah Nahas; Lucas Faraco Sobrado; Rodrigo Ambar Pinto; Edson Abdala; Ulysses Ribeiro Junior; Ivan Cecconello Journal: Arq Bras Cir Dig Date: 2022-06-17
Authors: Christina A Fleming; Anna Fullard; Stefanie Croghan; Gianluca Pellino; Francesco Pata Journal: J Clin Med Date: 2022-05-24 Impact factor: 4.964
Authors: Saad Alhumaid; Abbas Al Mutair; Jawad S Busubaih; Nourah Al Dossary; Murtadha Alsuliman; Sarah A Baltyour; Ibrahim Alissa; Hassan I Al Hassar; Noor A Al Aithan; Hani A Albassri; Suliman A AlOmran; Raed M ALGhazal; Ahmed Busbaih; Nasser A Alsalem; Waseem Alagnam; Mohammed Y Alyousef; Abdulaziz U Alseffay; Hussain A Al Aish; Ali Aldiaram; Hisham A Al Eissa; Murtadha A Alhumaid; Ali N Bukhamseen; Koblan M Al Mutared; Abdullah H Aljwisim; Abdullah M Twibah; Meteab M AlSaeed; Hussien A Alkhalaf; Fatemah M ALShakhs; Thoyaja Koritala; Jaffar A Al-Tawfiq; Kuldeep Dhama; Ali A Rabaan; Awad Al-Omari Journal: Infect Agent Cancer Date: 2022-09-12 Impact factor: 3.698