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Thoracic Surgery during Coronavirus Disease 2019 (COVID-19): The Experience of a Level 1 Trauma Center

Jeremy Smelt1, Gowthanan Santhirakumaran1, Paul Vaughan1

  • 1Department of Thoracic Surgery, St. George's University Hospitals NHS Foundation Trust, London, United Kingdom.

The Thoracic and Cardiovascular Surgeon
|November 23, 2020
PubMed

Insights

Thoracic surgery services adapted during the COVID-19 pandemic, maintaining patient safety. This involved reducing trauma referrals and prioritizing cancer surgeries to manage the surge of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Area of Science:

  • Medicine
  • Surgery
  • Infectious Diseases

Background:

  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) caused a global pandemic, impacting healthcare systems worldwide.
  • The pandemic necessitated rapid adaptation of services to manage critically ill patients, including those requiring thoracic surgery.

Purpose of the Study:

  • To analyze the impact of the COVID-19 pandemic on thoracic surgery at a major trauma center during peak prevalence.
  • To assess the feasibility of adapting thoracic surgical services during a pandemic without compromising patient outcomes.

Main Methods:

  • Prospective data collection for thoracic surgeries performed between March 2020 and May 2020.
  • Retrospective data from a comparable prior period were used for comparison.

Main Results:

  • 117 thoracic surgical operations were performed during the study period.
  • Six operations were on patients with active SARS-CoV-2, and one was on a recovered patient.
  • No deaths related to SARS-CoV-2 occurred among patients undergoing thoracic surgery.

Conclusions:

  • Thoracic surgery services can be adapted during a pandemic surge without increased mortality.
  • Adaptation was achieved through reduced trauma referrals, cessation of elective/benign procedures, and reprioritization of cancer surgeries.
  • Lessons learned are crucial for preparing for future pandemic surges and similar health crises.
Abstract

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