Abdullah DURHAN, Abdullah ŞENLİKC, Rıfat BEZİRC, Marlen SÜLEYMAN, Koray KOŞMAZ, Yusuf Murat BAĞ, Ümit MERCAN, Mevlüt Recep PEKÇİC

COVID-19 PANDEMİSİNİN ACİL GENEL CERRAHİ VE ELEKTİF ONKOLOJİK CERRAHİ AMELİYATLARINA ETKİSİ: RETROSPEKTİF KESİTSEL ÇALIŞMA

Giriş: COVİD-19 pandemisi ile mücadele için genel cerrahi kliniklerinde gerek hasta kabulü gerekse cerrahiplanlanmasında radikal düzenlemeler yapıldı. Bu çalışmamızda COVİD-19 pandemisinin acil cerrahi ve elektifonkolojik cerrahi vakalarındaki etkilerini değerlendirmeyi amaçladık.Gereç ve Yöntem: 2019 ve 2020 yılının Mart-Mayıs aylarında cerrahi kliniğimizde opere edilen acil cerrahi veonkolojik cerrahi hastalarının demografik ve klinik özellikleri retrospektif olarak incelendi. Tüm hastalarındemografik özellikleri (yaş, cinsiyet), yapılan cerrahi girişimlerin tipleri, malign/benign olgular, yatış süresi,taburculuk şekli ve mortalite sonuçları ile değerlendirildi.Bulgular: 2019 yılında opere edilen acil vakaların sayısı 382 (%57,96) iken 2020 yılının aynı döneminde 277(%42,03) olup belirgin azalma gözlenmiştir. Opere edilen toplam elektif malign olgu sayısı 102 olup, 76'sı(%74,50) pandemi öncesi, 26'sı (%25,49) ise pandemi döneminde olup vaka sayılarında belirgin azalma gözlendi.Hem acil vakalarda hem de elektif onkolojik vakalarda hastaların yaşı,cinsiyeti, hastanede yatış süresi vetaburculuk şeklinde istatisksel anlamlı sonuç çıkmamıştır. Ayrıca pandemi öncesi ve pandemi döneminde erkendönem mortalite ve postoperatif COVİD-19 pozitifliği gözlenmedi.Sonuç: Pandemi döneminde acil cerrahi ve onkolojik cerrahi vakalarına kısıtlama getirilmemesine rağmen, vakasayılarında belirgin azalma olduğu gözlenmiştir. COVİD-19 hastalıği kadar tedavisi geciktirildiğinde acil cerrahi veonkolojik cerrahi hastaları da artmış morbidite ve mortaliteye neden olur. Halkımız bu konuda biliçlendirilmeli vesağlık yönetimimiz bu hastalarımızın güvenle gelebileceği pandemiden bağımsız hastaneler oluşturmalıdır

EFFECT OF COVID-19 PANDEMIC ON EMERGENCY GENERAL SURGERY AND ELECTIVE ONCOLOGICAL SURGERY: RETROSPECTIVE CROSS-SECTIONAL STUDY

Introduction: Radical changes have been made in general surgery clinics in both patient admissions and surgical planning to combat the COVID-19 outbreak. In this study, we aimed to evaluate the effects of the COVID 19 pandemic in emergency surgery and elective oncologic surgery cases. Material and Method: The demographic and clinical characteristics of emergency surgery and oncological surgery patients who were operated on in our surgery clinic in March-May of 2019 and 2020 were retrospectively 88 İzmir Eğitim ve Araştırma Hastanesi Tıp Dergisi (Medical Journal of İzmir Hospital) analyzed. The demographic characteristics (age, gender) of all patients, types of surgical interventions, malignant/benign cases, length of stay in the hospital, discharge type, and mortality results were evaluated. Results: While the number of emergency cases operated in 2019 was 382 (57.96%), it was 277 (42.03%) in the same period of 2020 and a significant decrease was observed. The total number of elective malignant cases operated on was 102, 76 (74.50%) of them were pre-pandemic and 26 (25.49%) were in the pandemic period and a significant decrease was observed in the number of cases. There were no statistically significant results in both emergency cases and elective oncology cases in the form of age, gender, length of hospital stay, and discharge of patients. Also, early mortality and postoperative COVID-19 positivity were not observed before and during the pandemic period. Conclusion: Although no restrictions were placed on emergency surgery and oncological surgery cases during the pandemic period, it was observed that the number of cases decreased significantly. When the treatment is delayed as much as COVID-19 disease, emergency surgery, and oncologic surgery patients also cause increased morbidity and mortality. Our public should be informed about this issue and our health management should establish hospitals independent of the pandemic where these patients can safely come.

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