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急性 COVID-19 肺炎后早期的肺癌手术。

Lung Cancer Surgery in the Early Phase After Acute COVID-19 Pneumonitis.

机构信息

Guy's King's and St Thomas' School of Medical Education, London, United Kingdom.

Department of Thoracic Surgery, Guy's and St. Thomas' National Health Service Foundation Trust, London, United Kingdom.

出版信息

Ann Thorac Surg. 2022 Apr;113(4):e243-e245. doi: 10.1016/j.athoracsur.2021.06.016. Epub 2021 Jul 1.

DOI:10.1016/j.athoracsur.2021.06.016
PMID:34217692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8247196/
Abstract

A 65-year-old woman was diagnosed with early-stage lung cancer in 2020 and scheduled for robotic assisted-left upper lobectomy. Unfortunately, the patient contracted symptomatic COVID-19, resulting in postponement of lung resection. She was admitted for surgery 6 weeks after the acute infection. A preoperative computed tomographic scan showed widespread interstitial pneumonitis. However, the operation went ahead given concerns over tumor progression, albeit with a lesser resection to preserve lung tissue because the patient was slightly hypoxic. Her postoperative recovery was uneventful, and she was discharged 5 days later. Final histology confirmed a fully resected stage T1c N0 M0 adenocarcinoma of the lung.

摘要

一位 65 岁女性于 2020 年被诊断为早期肺癌,拟行机器人辅助左上肺叶切除术。不幸的是,患者感染了有症状的 COVID-19,导致肺切除术推迟。急性感染后 6 周,她入院接受手术。术前 CT 扫描显示广泛的间质性肺炎。然而,考虑到肿瘤进展,手术仍在进行,尽管为了保留肺组织而进行了较小的切除,因为患者有轻度缺氧。她的术后恢复顺利,5 天后出院。最终的组织学证实为完全切除的 T1c N0 M0 期肺腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3d/8247196/d386ca8516ed/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3d/8247196/7ecbc4d7dc45/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3d/8247196/8a47a3ce67e1/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3d/8247196/d386ca8516ed/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3d/8247196/7ecbc4d7dc45/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3d/8247196/8a47a3ce67e1/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc3d/8247196/d386ca8516ed/gr3_lrg.jpg

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本文引用的文献

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Too long to wait: the impact of COVID-19 on elective surgery.等待时间过长:新冠疫情对择期手术的影响
Lancet Rheumatol. 2021 Feb;3(2):e83. doi: 10.1016/S2665-9913(21)00001-1. Epub 2021 Jan 28.
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Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study.感染新型冠状病毒2后手术时机:一项国际前瞻性队列研究。
Anaesthesia. 2021 Jun;76(6):748-758. doi: 10.1111/anae.15458. Epub 2021 Mar 9.
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Thoracic surgery outcomes for patients with Coronavirus Disease 2019.新冠肺炎患者的胸外科手术结果。
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