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COVID-19: gynecologic cancer surgery at a single center in Madrid.
de Santiago, Javier; Yelo, Carmen; F Chereguini, Maria; Conde, Ana; Galipienzo, Javier; Salvatierra, David; Linero, Manuel; Alonso, Sonsoles.
  • de Santiago J; Gynecology, MD Anderson Cancer Center Madrid, Madrid, Spain.
  • Yelo C; Gynecology, MD Anderson Cancer Center Madrid, Madrid, Spain cyelo@mdanderson.es.
  • F Chereguini M; Gynecology, MD Anderson Cancer Center Madrid, Madrid, Spain.
  • Conde A; Gynecology, MD Anderson Cancer Center Madrid, Madrid, Spain.
  • Galipienzo J; Anesthesiology, MD Anderson Cancer Center Madrid, Madrid, Spain.
  • Salvatierra D; Anesthesiology, MD Anderson Cancer Center Madrid, Madrid, Spain.
  • Linero M; Anesthesiology, MD Anderson Cancer Center Madrid, Madrid, Spain.
  • Alonso S; Gynecology, MD Anderson Cancer Center Madrid, Madrid, Spain.
Int J Gynecol Cancer ; 30(8): 1108-1112, 2020 08.
Article in English | MEDLINE | ID: covidwho-638886
ABSTRACT

OBJECTIVES:

While numerous medical facilities have been forced to suspend oncological surgery due to system overload, debate has emerged on using non-surgical options on cancer cases during the pandemic. The goal of our study was to analyze, in a retrospective cohort study, the results of gynecological cancer surgery and evaluate postoperative complications in a single center in one of the most affected areas in Europe.

METHODS:

We retrospectively analyzed the records of patients who were referred between March 2020 and May 2020 for primary surgical treatment of breast, endometrial, ovarian, cervical, or vulvar cancer.

RESULTS:

The study included a total of 126 patients. Median age was 60 years (range 29-89). Patients were referred with breast (76/126, 60.3%), endometrial (29/126, 23%), ovarian (14/126, 11.1%), cervical (5/126, 4%), or vulvar cancer (2/126, 1.6%). Polymerase chain reaction (PCR) test for detection of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) was only conducted in 50% of cases due to the low availability of tests during the first phase of our study, and was indicated only in suspected cases according to the healthcare authorities' protocol. Median hospital stay was 1 day (range 0-18). Excluding breast surgery, laparoscopy was the most used procedure (43/126, 34.1%). 15 patients had a postoperative complication (15/126, 11.9%); only in 2 patients (2/15 13.3%) were there reports of Clavien-Dindo grade 3 or 4 complications. 6 patients tested positive for COVID-19 following a PCR diagnostic test, and these surgeries were cancelled.

CONCLUSIONS:

Adequate protective measures in the setting of COVID-19 free institutions enabled the continuity of cancer surgery without significant compromise of the safety of patients or healthcare workers.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Gynecologic Surgical Procedures / Coronavirus Infections / Pandemics / Betacoronavirus / Genital Neoplasms, Female Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: Europa Language: English Journal: Int J Gynecol Cancer Journal subject: Gynecology / Neoplasms Year: 2020 Document Type: Article Affiliation country: Ijgc-2020-001638

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Gynecologic Surgical Procedures / Coronavirus Infections / Pandemics / Betacoronavirus / Genital Neoplasms, Female Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: Europa Language: English Journal: Int J Gynecol Cancer Journal subject: Gynecology / Neoplasms Year: 2020 Document Type: Article Affiliation country: Ijgc-2020-001638