Department of Visceral Surgery, Center of Excellence in Translational Medicine "Fundeni" Clinical Institute, Bucharest, Romania;
Department of Obstetrics and Gynecology, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
In Vivo. 2021 Mar-Apr;35(2):1307-1311. doi: 10.21873/invivo.12383.
BACKGROUND/AIM: The aim of this study is to report a case series of three patients who developed postoperative severe acute respiratory syndrome corona virus-2 (SARS-CoV-2) infection, although the initial tests were negative.
Between April and September 2020, three patients submitted to pancreatoduodenectomy developed SARS-CoV-2 infection; their outcomes were compared to those of a similar group in which the postoperative outcomes were uneventful.
There were no significant differences between the two groups in terms of pre- and intraoperative outcomes; however, all of the three cases who developed SARS-CoV-2 infection postoperatively required re-admission in the intensive care unit and a longer hospital in stay. The overall mortality rate was null.
Patients submitted to pancreatoduodenectomy for pancreatic head cancer who develop SARS-COV-2 infection postoperatively need a more appropriate supportive care; however, the overall mortality does not appear to increase, justifying, in this way, the continuation of programmed oncological of surgeries.
背景/目的：本研究旨在报告三例术后严重急性呼吸综合征冠状病毒 2 型（SARS-CoV-2）感染的病例系列，尽管最初的检测结果为阴性。
2020 年 4 月至 9 月，三例行胰十二指肠切除术的患者发生 SARS-CoV-2 感染；将他们的结局与术后结局无并发症的类似组进行比较。
两组患者的术前和术中结局无显著差异；然而，所有术后发生 SARS-CoV-2 感染的三例患者均需要重新入住重症监护病房并延长住院时间。总死亡率为零。
因胰头癌而行胰十二指肠切除术的患者术后发生 SARS-COV-2 感染需要更适当的支持治疗；然而，总体死亡率似乎没有增加，这在某种程度上证明了继续进行计划性肿瘤手术是合理的。
