The impact of COVID-19 on gastric cancer surgery: a single-center retrospective study
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RESEARCH ARTICLE
Open Access
The impact of COVID-19 on gastric cancer surgery: a single-center retrospective study Yu-xuan Li1†, Chang-zheng He1†, Yi-chen Liu1†, Peng-yue Zhao1, Xiao-lei Xu1, Yu-feng Wang2, Shao-you Xia1* and Xiao-hui Du1*
Abstract Background: The coronavirus disease 2019 (COVID-19) has been declared a global pandemic by the World Health Organization. Patients with cancer are more likely to incur poor clinical outcomes. Due to the prevailing pandemic, we propose some surgical strategies for gastric cancer patients. Methods: The ‘COVID-19’ period was defined as occurring between 2020 and 01-20 and 2020-03-20. The enrolled patients were divided into two groups, pre-COVID-19 group (PCG) and COVID-19 group (CG). A total of 109 patients with gastric cancer were enrolled in this study. Results: The waiting time before admission increased by 4 days in the CG (PCG: 4.5 [IQR: 2, 7.8] vs. CG: 8.0 [IQR: 2, 20]; p = 0.006). More patients had performed chest CT scans besides abdominal CT before admission during the COVID-19 period (PCG: 22 [32%] vs. CG: 30 [73%], p = 0.001). After admission during the COVID period, the waiting time before surgery was longer (PCG: 3[IQR: 2,5] vs. CG: 7[IQR: 5,9]; p < 0.001), more laparoscopic surgeries were performed (PCG: 51[75%] vs. CG: 38[92%], p = 0.021), and hospital stay period after surgery was longer (7[IQR: 6,8] vs.9[IQR:7,11]; p < 0.001). In addition, the total cost of hospitalization increased during this period, (PCG: 9.22[IQR: 7.82,10.97] vs. CG: 10.42[IQR:8.99,12.57]; p = 0.006). Conclusion: This study provides an opportunity for our surgical colleagues to reflect on their own services and any contingency plans they may have to tackle the COVID-19 crisis. Keywords: Gastric cancer, Coronavirus disease 2019, COVID-19, Retrospective analysis
Background A respiratory epidemic defined as ‘coronavirus disease 2019 (COVID-19)’ emerged in Wuhan city, Hubei Province, China. Forty-one patients were admitted to hospitals with an initial pneumonia diagnosis of an unknown etiology. Most of these patients had visited a local fish and wild animal market in November [1, 2]. Since then, COVID-19 has been declared a global pandemic by the World Health Organization (WHO). According to the * Correspondence: [email protected]; [email protected] † Yu-xuan Li, Chang-zheng He and Yi-chen Liu contributed equally to this work. 1 Department of General Surgery, Chinese PLA General Hospital, Beijing 100853, PR China Full list of author information is available at the end of the article
situation report-77 of WHO (Data as of 6th April, 2020), more than 1.2 million people had been infected across the globe [3]. Most patients presented with fever, dry cough and dyspnea. However, incidences of isolated or coexisting abdominal and gastrointestinal symptoms such as diarrhea, nausea, vomiting and abdominal discomfort were also common [4]. Due to the route of transmission of this disease, stringent precautionary measures for patients and particularly hospital staffs who were at great risk were
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