Outcomes of Thoracoscopic Lobectomy after Recent COVID-19 Infection

Background: The COVID-19 outbreak had a massive impact on lung cancer patients with the rise in the incidence and mortality of lung cancer. Methods: We evaluated whether a recent COVID-19 infection affected the outcome of patients undergoing thoracoscopic lobectomy for lung cancer using a retrospect...

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Main Authors: Beatrice Leonardi, Caterina Sagnelli, Giovanni Natale, Francesco Leone, Antonio Noro, Giorgia Opromolla, Damiano Capaccio, Francesco Ferrigno, Giovanni Vicidomini, Gaetana Messina, Rosa Maria Di Crescenzo, Antonello Sica, Alfonso Fiorelli
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Pathogens
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Online Access:https://www.mdpi.com/2076-0817/12/2/257
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author Beatrice Leonardi
Caterina Sagnelli
Giovanni Natale
Francesco Leone
Antonio Noro
Giorgia Opromolla
Damiano Capaccio
Francesco Ferrigno
Giovanni Vicidomini
Gaetana Messina
Rosa Maria Di Crescenzo
Antonello Sica
Alfonso Fiorelli
author_facet Beatrice Leonardi
Caterina Sagnelli
Giovanni Natale
Francesco Leone
Antonio Noro
Giorgia Opromolla
Damiano Capaccio
Francesco Ferrigno
Giovanni Vicidomini
Gaetana Messina
Rosa Maria Di Crescenzo
Antonello Sica
Alfonso Fiorelli
author_sort Beatrice Leonardi
collection DOAJ
description Background: The COVID-19 outbreak had a massive impact on lung cancer patients with the rise in the incidence and mortality of lung cancer. Methods: We evaluated whether a recent COVID-19 infection affected the outcome of patients undergoing thoracoscopic lobectomy for lung cancer using a retrospective observational mono-centric study conducted between January 2020 and August 2022. Postoperative complications and 90-day mortality were reported. We compared lung cancer patients with a recent history of COVID-19 infection prior to thoracoscopic lobectomy to those without recent COVID-19 infection. Univariable and multivariable analyses were performed. Results: One hundred and fifty-three consecutive lung cancer patients were enrolled. Of these 30 (19%), had a history of recent COVID-19 infection prior to surgery. COVID-19 was not associated with a higher complication rate or 90-day mortality. Patients with recent COVID-19 infection had more frequent pleural adhesions (<i>p</i> = 0.006). There were no differences between groups regarding postoperative complications, conversion, drain removal time, total drainage output, and length of hospital stay. Conclusions: COVID-19 infection did not affect the outcomes of thoracoscopic lobectomy for lung cancer. The treatment of these patients should not be delayed in case of recent COVID-19 infection and should not differ from that of the general population.
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spelling doaj.art-fc728bbebe6a4695b13a5b05c83c022a2023-11-16T22:34:11ZengMDPI AGPathogens2076-08172023-02-0112225710.3390/pathogens12020257Outcomes of Thoracoscopic Lobectomy after Recent COVID-19 InfectionBeatrice Leonardi0Caterina Sagnelli1Giovanni Natale2Francesco Leone3Antonio Noro4Giorgia Opromolla5Damiano Capaccio6Francesco Ferrigno7Giovanni Vicidomini8Gaetana Messina9Rosa Maria Di Crescenzo10Antonello Sica11Alfonso Fiorelli12Thoracic Surgery Unit, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyDepartment of Mental Health and Public Medicine, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyThoracic Surgery Unit, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyThoracic Surgery Unit, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyThoracic Surgery Unit, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyThoracic Surgery Unit, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyPneumology Unit, Eboli Hospital; Eboli, 84025 Salerno, ItalyCOVID-19 Hospital “M. Scarlato”, Department of Pneumology, 84018 Scafati, ItalyThoracic Surgery Unit, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyThoracic Surgery Unit, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyAnatomo-Pathology Unit, University Federico II, 80131 Naples, ItalyDepartment of Precision Medicine, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyThoracic Surgery Unit, University of Campania Luigi Vanvitelli, 80131 Naples, ItalyBackground: The COVID-19 outbreak had a massive impact on lung cancer patients with the rise in the incidence and mortality of lung cancer. Methods: We evaluated whether a recent COVID-19 infection affected the outcome of patients undergoing thoracoscopic lobectomy for lung cancer using a retrospective observational mono-centric study conducted between January 2020 and August 2022. Postoperative complications and 90-day mortality were reported. We compared lung cancer patients with a recent history of COVID-19 infection prior to thoracoscopic lobectomy to those without recent COVID-19 infection. Univariable and multivariable analyses were performed. Results: One hundred and fifty-three consecutive lung cancer patients were enrolled. Of these 30 (19%), had a history of recent COVID-19 infection prior to surgery. COVID-19 was not associated with a higher complication rate or 90-day mortality. Patients with recent COVID-19 infection had more frequent pleural adhesions (<i>p</i> = 0.006). There were no differences between groups regarding postoperative complications, conversion, drain removal time, total drainage output, and length of hospital stay. Conclusions: COVID-19 infection did not affect the outcomes of thoracoscopic lobectomy for lung cancer. The treatment of these patients should not be delayed in case of recent COVID-19 infection and should not differ from that of the general population.https://www.mdpi.com/2076-0817/12/2/257COVID-19oncologysurgerythoracoscopic lobectomylung cancer
spellingShingle Beatrice Leonardi
Caterina Sagnelli
Giovanni Natale
Francesco Leone
Antonio Noro
Giorgia Opromolla
Damiano Capaccio
Francesco Ferrigno
Giovanni Vicidomini
Gaetana Messina
Rosa Maria Di Crescenzo
Antonello Sica
Alfonso Fiorelli
Outcomes of Thoracoscopic Lobectomy after Recent COVID-19 Infection
Pathogens
COVID-19
oncology
surgery
thoracoscopic lobectomy
lung cancer
title Outcomes of Thoracoscopic Lobectomy after Recent COVID-19 Infection
title_full Outcomes of Thoracoscopic Lobectomy after Recent COVID-19 Infection
title_fullStr Outcomes of Thoracoscopic Lobectomy after Recent COVID-19 Infection
title_full_unstemmed Outcomes of Thoracoscopic Lobectomy after Recent COVID-19 Infection
title_short Outcomes of Thoracoscopic Lobectomy after Recent COVID-19 Infection
title_sort outcomes of thoracoscopic lobectomy after recent covid 19 infection
topic COVID-19
oncology
surgery
thoracoscopic lobectomy
lung cancer
url https://www.mdpi.com/2076-0817/12/2/257
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