İsmail ZİHNİ, Mustafa TERCAN, Muhammed Selim BODUR, Mümtaz ERAKIN, İsa KARACA, Girayhan ÇELİK, İsa SÖZEN, Mehmet SABUNCUOGLU, Recep ÇETİN

COVİD-19 PANDEMİSİNDE BİR ÜNİVERSİTE HASTANESİ CERRAHİ ONKOLOJİ KLİNİĞİNDE KANSER CERRAHİSİ DENEYİMİ

Amaç Çin Halk Cumhuriyeti’nde ortaya çıkan ve küresel olarak salgına dönüşen Koronavirüs Hastalığı (Covid-19) bütün evrende olduğu gibi ülkemizde de kanser cerrahisini etkiledi. Salgının etkilediği birçok ülkede elektif ameliyatlar ertelendi. Çalışmamızda pandemide Süleyman Demirel Üniversitesi Tıp Fakültesi Cerrahi Onkoloji Kliniği’nde yaptığımız malignite operasyonlarının sonuçlarını ortaya koymayı amaçladık. Gereç ve Yöntem SDÜ Tıp Fakültesi Cerrahi Onkoloji Polikliniği’ ne başvuran ve ameliyat edilmesi gerektiğine karar verilen hastalar çalışmaya dahil edildi. Hepsine preoperatif hazırlık sırasında Covid - 19 testi (PCR) uygulandı. Takiplerde Covid - 19' un genel bulguları, yara durumları ve cerrahi bulgular incelendi. Ameliyat öncesi tüm hastalar cerrahi maske kullandılar. Doktorlar ve diğer sağlık personelleri vizitleri esnasında ve muayeneleri esnasında cerrahi maske taktılar ve tek kullanımlık lateks eldivenler kullandılar. Bulgular SDÜ Tıp Fakültesi Cerrahi Onkoloji Kliniği’ nde 10 Mart 2020 ve 31 Haziran 2021 tarihleri arasında 138 malignite tanısı konulan hasta ameliyat edildi. Ameliyat öncesi hastaların hiçbirinde Covid - 19 semptomları (ateş, öksürük veya yorgunluk) yoktu. 2 hastada (mide ve meme kanseri) Covid – 19 (PCR) testi pozitif geldi. Pozitif gelen hastalar izole edilerek operasyonu ertelendi. Postoperatif 15 günlük dönemde hiçbir hastada Covid - 19 semptomu görülmedi. Tüm hastalar komplikasyonsuz bir şekilde taburcu edildiler. Sonuç Covid - 19 Pandemisi süresince kanser hastalarının cerrahi endikasyon dahilinde doğru yönetilmesi hem acil durumlara bağlı ölümlerin önüne geçilmesi, hem de doğru tedavi uygulanması açısından önemlidir. Cerrahi ekip ve hastalar için gerekli önlemlerin alınması şartıyla, kanser hastalarının pandemi döneminde güvenli şekilde ameliyat edilebileceği gösterilmiştir.

Anahtar Kelimeler:

Kanser Cerrahisi, Coronavirüs, COVID-19, SARS-COV-2

CANCER SURGERY EXPERIENCE IN A UNIVERSITY HOSPITAL SURGICAL ONCOLOGY CLINIC IN THE COVID-19 PANDEMIC

Objective The Coronavirus Disease (Covid-19), which emerged in the People's Republic of China and turned into a global epidemic, affected cancer surgery in our country as well as in the whole universe. Elective surgeries have been postponed in many countries affected by the epidemic. In our study, we aimed to reveal the results of the malignancy operations we performed in the Süleyman Demirel University Faculty of Medicine, Surgery Oncology Clinic during the pandemic. Material and Method Patients who applied to SDU Faculty of Medicine Surgical Oncology Outpatient Clinic and were decided to be operated were included in the study. Covid-19 test (PCR) was applied to all of them during preop preparation. In the follow-ups, general findings of Covid-19, wound conditions and surgical findings were examined. All patients used surgical masks before surgery. Doctors and other healthcare professionals wore surgical masks and disposable latex gloves during their visits and examinations. Results Between March 10, 2020 and June 31, 2021, 138 patients diagnosed with malignancy were operated at SDU Faculty of Medicine, Department of Surgical Oncology. None of the preoperative patients had Covid-19 symptoms (fever, cough or fatigue). Covid-19 (PCR) test was positive in 2 patients (stomach and breast cancer). The positive patients were isolated and the operation was postponed. No Covid-19 symptoms were observed in any patient in the postoperative 15-day period. All patients were discharged without complications. Conclusion During the Covid-19 Pandemic, the correct management of cancer patients within the surgical indication is important in terms of both preventing deaths due to emergencies and applying the right treatment. It has been shown that cancer patients can be operated safely during the pandemic period, provided that the necessary precautions are taken for the surgical team and patients.

Keywords:

Cancer Surgery, Coronavirus, COVID-19, SARS-COV-2,

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