Assessment of outcomes of elective cancer surgeries in children during coronavirus disease 2019 pandemic: Retrospective cohort study from a tertiary cancer center in India.
Medicine (Baltimore)
; 100(35): e26752, 2021 Sep 03.
Article
in English
| MEDLINE | ID: covidwho-1393504
ABSTRACT
ABSTRACT To describe the outcomes of elective cancer surgeries and adverse consequences on the patients and medical staff due to the surgical interventions in children during the Coronavirus Disease 2019 (COVID-19) pandemic.The study included children younger than 15âyears who underwent elective cancer surgeries from March 4, 2020 and December 3, 2020.A total of 121 patients (62% male; median age, 3âyears) underwent surgery. The surgical procedures included nephrectomies (nâ=â18), neuroblastoma (nâ=â26) and soft tissue tumor resections (nâ=â24) and complex surgical procedures like extended liver resections (nâ=â2), intra-atrial thrombectomy under cardiopulmonary bypass (nâ=â2), pancreatoduodenectomy (nâ=â1), and free microvascular flaps (nâ=â7). Clavien-Dindo Grade III complications were 5% (nâ=â6), and there were no postoperative deaths. Preoperative COVID-19 testing was performed in 82% of children, and only 2% showed severe acute respiratory syndrome coronavirus 2 positivity. Postoperatively, 26 children were tested because of specific symptoms and, 6 tested positive for severe acute respiratory syndrome coronavirus 2. Except for a median delay of 23âdays in treatment, none of the patients with COVID-19 required critical hospital management. None of the surgical residents or faculty acquired COVID-19, while 4 each medical and support staff were tested positive in the study period.COVID-19 was not a deterrent for continued cancer care, and surgeries could be safely performed adopting universal preventive measures without any added morbidity from COVID-19. Caregivers and centers dealing with childhood cancers can be encouraged to sustain or seek early healthcare.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Elective Surgical Procedures
/
Neoplasms
Type of study:
Cohort study
/
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Medicine (Baltimore)
Year:
2021
Document Type:
Article
Affiliation country:
MD.0000000000026752
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