"THE CLINICAL CONSEQUENCES OF SARS-CoV-2 INFECTION IN PATIENTS WITH PANCREATICODUODENECTOMY FOR MALIGNANT DISEASE"

Introduction. The coronavirus disease 2019 (COVID-19) pandemic has constrained healthcare units to reorganize hospital departments, substantially reducing their capacity to perform oncology-related surgeries. Despite the efforts to reduce the risk of severe acute respiratory syndrome coronavirus 2 (...

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Published in:	Archives of the Balkan Medical Union : the official journal of the Balkan Medical Union Vol. 57; no. 1; pp. 99 - 105
Main Authors:	MARTINIUC, Alexandru, STANILA, Ana, TABACELIA, Daniela, POENARU, Radu, DUMITRAS, Stefana, NITU, Florina A., DUMITRU, Radu, FLORESCU, Madalina M., GRIGORESCU, Raluca R., ROSIANU, Cristian, POPA, Laura, BIRCEANU, Adelina, CHIRITA, Dragos, STROESCU, Cezar
Format:	Journal Article
Language:	English
Published:	Balkan Medical Union 01-03-2022
Subjects:	pancreatic cancer pancreaticoduodenectomy sars-cov-2
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Summary:	Introduction. The coronavirus disease 2019 (COVID-19) pandemic has constrained healthcare units to reorganize hospital departments, substantially reducing their capacity to perform oncology-related surgeries. Despite the efforts to reduce the risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during hospitalization, COVID-19 has complicated the recovery of many surgical patients. Our objective was to assess the impact of SARS-CoV-2 infection on the postoperative evolution of patients with pancreatic surgery. Cases presentation. We present four patients with pancreaticoduodenectomy for malignant disease, operated in our hepato-biliary-pancreatic surgery department, who presented COVID-19 in the postoperative period, despite initial negative screening. 10% of patients who had pancreaticoduodenectomies were subsequently detected with minimal, moderate to severe forms of COVID-19 in the postoperative period, which led to an extension of the hospitalization period, in some cases, by up to five weeks. Conclusions. The side effects of COVID-19 pandemic are yet to have reached their limits. Pancreaticoduodenectomy is a complex surgery with high morbidity rates, but during the COVID-19 pandemics it has become more challenging.
ISSN:	1584-9244 2558-815X
DOI:	10.31688/ABMU.2022.57.1.12