Short-term outcomes after Ivor Lewis oesophagectomy for cancer during the COVID-19 pandemic.
Ann R Coll Surg Engl
; 103(2): 134-137, 2021 Feb.
Article
in English
| MEDLINE | ID: covidwho-921027
ABSTRACT
INTRODUCTION:
Elective surgery in the UK came to a halt during the early part of the COVID-19 pandemic. As COVID-19-related infection and mortality rates in Devon and Cornwall were relatively low, however, urgent elective surgery continued in Plymouth, with the necessary precautions in place. This study aimed to assess outcomes following Ivor Lewis oesophagectomy (ILO) during the pandemic.METHODS:
We prospectively analysed details of 20 consecutive patients who underwent ILO for cancer over a 3-month period between 17 March and 12 June 2020. All patients underwent COVID-19 swab testing 24-48 hours before surgery and during admission when clinically indicated. The primary outcome measure was COVID-19-related morbidity. Secondary outcome measures were non-COVID-19-related morbidity, mortality and length of hospital stay.RESULTS:
Twenty patients underwent ILO during the study period. All patients identified as white British. No patients tested positive for COVID-19 pre- or postoperatively. There was no COVID-19-related morbidity. There was no in-hospital mortality. Seven patients developed pneumonia, which settled with antibiotics. One patient developed an anastomotic leak, which was treated conservatively. One patient returned to theatre for a para-conduit hernia repair. The median length of hospital stay was nine days. One patient required admission to the high dependency unit for inotropic support for two days.CONCLUSIONS:
ILO can be performed safely during the COVID-19 pandemic with the necessary precautions in place.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Esophageal Neoplasms
/
Adenocarcinoma
/
Hospital Mortality
/
Esophagectomy
/
Esophageal Squamous Cell Carcinoma
/
COVID-19
/
Length of Stay
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
English
Journal:
Ann R Coll Surg Engl
Year:
2021
Document Type:
Article
Affiliation country:
Rcsann.2020.7002
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