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Shefer N.A.

Tomsk Regional Oncology Dispensary

Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

Dambaev G.Ts.

Siberian State Medical University

Results and features of surgical treatment of lung cancer after previous COVID-19 pneumonia

Authors:

Shefer N.A., Topolnitskiy E.B., Dambaev G.Ts.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(12): 15‑19

DOI: 10.17116/hirurgia202112115

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Table of contents

RESULTS AND FEATURES OF SURGICAL TREATMENT OF LUNG CANCER AFTER PREVIOUS COVID-19 PNEUMONIA
RESULTS AND FEATURES OF SURGICAL TREATMENT OF LUNG CANCER AFTER PREVIOUS COVID-19 PNEUMONIA

To cite this article:

Shefer NA, Topolnitskiy EB, Dambaev GTs. Results and features of surgical treatment of lung cancer after previous COVID-19 pneumonia. Pirogov Russian Journal of Surgery. 2021;(12):15‑19. (In Russ.)
https://doi.org/10.17116/hirurgia202112115

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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OBJECTIVE

To evaluate the features of preoperative preparation and postoperative outcomes in patients with lung cancer and previous COVID-19 pneumonia.

MATERIAL AND METHODS

There were 7 patients with non-small cell lung cancer and previous bilateral viral pneumonia between June 2020 and January 2021. In 3 cases, lung cancer was detected in a hospital for COVID-19 patients. Four patients had persistent structural changes in X-ray images. After appropriate preparation, all patients underwent total resection.

RESULTS

At admission, all patients had severe physical and functional exhaustion associated with prolonged hypoxia and adynamia that required preoperative rehabilitation. Considering high risk of thromboembolic complications, we administered anticoagulation throughout the entire perioperative period and after discharge. Surgical treatment included anatomical resection (extended lobectomy). Postoperative complications occurred in 2 cases and were associated with prolonged air discharge through the pleural drainage tube.

CONCLUSION

As we study the consequences of the new coronavirus infection COVID-19, it becomes obvious that a new category of patients requiring specific diagnosis and treatment has emerged.

Keywords:

new coronavirus infection
lung cancer
surgical treatment
COVID-19
complications

Authors:

Shefer N.A.

Tomsk Regional Oncology Dispensary

Topolnitskiy E.B.

Siberian State Medical University;
Tomsk Regional Clinical Hospital;
National Research Tomsk State University

Dambaev G.Ts.

Siberian State Medical University

Received:

08.02.2021

Accepted:

09.03.2021

List of references:

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