Research progress in the timing of thoracic surgery after SARS-CoV-2 infection_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

NING Yingze ¹ , NI Yihong ² , CHEN Fangjun ³ ,  QIANG Guangliang ¹

1. Department of Thoracic Surgery, Peking University Third Hospital, Beijing, 100191, P. R. China;
2. The First Clinical Medical College, Nanjing Medical University, Nanjing, 211103, P. R. China;
3. China-Japan Friendship Institute of Clinical Medicine, Beijing, 100029, P. R. China;

Corresponding author：

QIANG Guangliang, Email: pkudd@126.com

Keywords：

SARS-CoV-2 infection; thoracic surgery; operation timing

DOI：

10.7507/1007-4848.202301030

Video：

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Since the outbreak of COVID-19 pandemic, a large number of elective or limited operations, including tumor treatment, have been postponed. With the deepening of the understanding of the virus and the change of the prevention policy, the impact of the pandemic is gradually shrinking, and a large number of operations delayed by the pandemic will be rescheduled. However, there is no consensus on the best time to perform surgery for patients infected with SARS-CoV-2, and the consensus on thoracic surgery is more limited. This article reviews the research progress in the timing of surgical operations, especially thoracic surgery, after SARS-CoV-2 infection.

Citation： NING Yingze, NI Yihong, CHEN Fangjun, QIANG Guangliang. Research progress in the timing of thoracic surgery after SARS-CoV-2 infection. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(3): 344-349. doi: 10.7507/1007-4848.202301030 Copy

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2.	COVIDSurg Collaborative. Outcomes and their state-level variation in patients undergoing surgery with perioperative SARS-CoV-2 infection in the USA: A prospective multicenter study. Ann Surg, 2022, 275(2): 247-251.
3.	El-Boghdadly K, Cook TM, Goodacre T, et al. SARS-CoV-2 infection, COVID-19 and timing of elective surgery: A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, the Centre for Peri-operative Care, the Federation of Surgical Specialty Associations, the Royal College of Anaesthetists and the Royal College of Surgeons of England. Anaesthesia, 2021, 76(7): 940-946.
4.	El-Boghdadly K, Cook TM, Goodacre T, et al. Timing of elective surgery and risk assessment after SARS-CoV-2 infection: An update: A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, Centre for Perioperative Care, Federation of Surgical Specialty Associations, Royal College of Anaesthetists, Royal College of Surgeons of England. Anaesthesia, 2022, 77(5): 580-587.
5.	DGCH/BDC und DGAI/BDA. Empfehlungen von DGCH/BDC und DGAI/BDA zur Terminierung elektiver operativer Eingriffe nach Covid-19 Infektion und Impfung. 2021. https://www.dgai.de/alle-docman-dokumente/aktuelles/1696-stellungnahme-zu-operation-und-intervall-zu-covid19-impfung-oder-infektion-12-05-2021/file.html.
6.	Noll J, Reichert M, Dietrich M, et al. When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA. Langenbecks Arch Surg, 2022, 407(4): 1315-1332.
7.	COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: An international cohort study. Lancet, 2020, 396(10243): 27-38.
8.	COVIDSurg Collaborative, GlobalSurg Collaborative. Timing of surgery following SARS-CoV-2 infection: An international prospective cohort study. Anaesthesia, 2021, 76(6): 748-758.
9.	COVIDSurg Collaborative, GlobalSurg Collaborative. SARS-CoV-2 infection and venous thromboembolism after surgery: An international prospective cohort study. Anaesthesia, 2022, 77(1): 28-39.
10.	American Society of Anesthesiologists and Anesthesia Patient Safety Foundation Joint Statement on Elective Surgery/Procedures and Anesthesia for Patients after COVID-19 Infection. 2022. https://www.apsf.org/news-updates/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection.
11.	ASA and APSF joint statement on elective surgery and anesthesia for patients after COVID-19 infection. 2021. https://www.asahq.org/about-asa/newsroom/news-releases/2021/03/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection-rv.
12.	Kothari AN, DiBrito SR, Lee JJ, et al. Surgical outcomes in cancer patients undergoing elective surgery after recovering from mild-to-moderate SARS-CoV-2 infection. Ann Surg Oncol, 2021, 28(13): 8046-8053.
13.	Bryant JM, Boncyk CS, Rengel KF, et al. Association of time to surgery after COVID-19 infection with risk of postoperative cardiovascular morbidity. JAMA Netw Open, 2022, 5(12): e2246922.
14.	Deng JZ, Chan JS, Potter AL, et al. The risk of postoperative complications after major elective surgery in active or resolved COVID-19 in the United States. Ann Surg, 2022, 275(2): 242-246.
15.	Lieberman N, Racine A, Nair S, et al. Should asymptomatic patients testing positive for SARS-CoV-2 wait for elective surgical procedures? Br J Anaesth, 2022, 128(5): e311-e314.
16.	Codner JA, Archer RH, Lynde GC, et al. Timing is everything: Surgical outcomes for SARS-CoV-2 positive patients. World J Surg, 2023, 47(2): 437-444.
17.	Sparnon T, Hadfield M. Guidance on delay to elective surgery post recovery from SARS-COV 2 infection (5 August 2020). 2020. https://www.surgeons.org/media/Project/RACS/surgeons-org/files/news/covid19-information-hub.
18.	Baiocchi G, Aguiar S Jr, Duprat JP, et al. Early postoperative outcomes among patients with delayed surgeries after preoperative positive test for SARS-CoV-2: A case-control study from a single institution. J Surg Oncol, 2021, 123(4): 823-833.
19.	Ranganathan P, Salunke B, Wajekar A, et al. Outcomes of elective cancer surgery in COVID-19 survivors: An observational study. J Surg Oncol, 2023, 127(1): 11-17.
20.	American College of Surgeons. COVID-19 guidelines for triage of thoracic patients. 2020. URL: https://www.facs.org/covid-19/clinical-guidance/elective-case/thoracic-cancer, accessed on 2023-01-10.
21.	Passaro A, Addeo A, Von Garnier C, et al. ESMO management and treatment adapted recommendations in the COVID-19 era: Lung cancer. ESMO Open, 2020, 5(Suppl 3): e000820.
22.	Şentürk M, El Tahan MR, Shelley B, et al. Thoracic anesthesia during the COVID-19 pandemic: 2021 updated recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee. J Cardiothorac Vasc Anesth, 2021, 35(12): 3528-3546.
23.	Testori A, Perroni G, Voulaz E, et al. Pulmonary lobectomy after COVID-19. Ann Thorac Surg, 2021, 111(3): e181-e182.
24.	Nakagomi T, Goto T, Hirotsu Y, et al. Lung cancer surgery with persistent COVID-19 infection. Ann Thorac Surg, 2022, 114(2): e79-e81.
25.	Robinson DP, Smith AE, Okiror L. Lung cancer surgery in the early phase after acute COVID-19 Pneumonitis. Ann Thorac Surg, 2022, 113(4): e243-e245.
26.	Komatsu H, Izumi N, Tsukioka T, et al. Lung cancer surgery after COVID-19 infection in a patient with severe interstitial pneumonia and restrictive ventilatory impairment. Surg Case Rep, 2022, 8(1): 173.
27.	Sakai T, Azuma Y, Aoki K, et al. Elective lung resection after treatment for COVID-19 pneumonia. Gen Thorac Cardiovasc Surg, 2021, 69(7): 1159-1162.
28.	Cone EB, Marchese M, Paciotti M, et al. Assessment of time-to-treatment initiation and survival in a cohort of patients with common cancers. JAMA Netw Open, 2020, 3(12): e2030072.
29.	Hanna TP, King WD, Thibodeau S, et al. Mortality due to cancer treatment delay: Systematic review and meta-analysis. BMJ, 2020: 371m4087.
30.	李辉, 游宾, 区颂雷, 等. 新冠疫情期间胸外科手术风险管控的几点建议. 中国胸心血管外科临床杂志, 2023, 30(2): 159-161.

1. Haffner MR, Le HV, Saiz AM Jr, et al. Postoperative in-hospital morbidity and mortality of patients with COVID-19 infection compared with patients without COVID-19 infection. JAMA Netw Open, 2021, 4(4): e215697.
2. COVIDSurg Collaborative. Outcomes and their state-level variation in patients undergoing surgery with perioperative SARS-CoV-2 infection in the USA: A prospective multicenter study. Ann Surg, 2022, 275(2): 247-251.
3. El-Boghdadly K, Cook TM, Goodacre T, et al. SARS-CoV-2 infection, COVID-19 and timing of elective surgery: A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, the Centre for Peri-operative Care, the Federation of Surgical Specialty Associations, the Royal College of Anaesthetists and the Royal College of Surgeons of England. Anaesthesia, 2021, 76(7): 940-946.
4. El-Boghdadly K, Cook TM, Goodacre T, et al. Timing of elective surgery and risk assessment after SARS-CoV-2 infection: An update: A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, Centre for Perioperative Care, Federation of Surgical Specialty Associations, Royal College of Anaesthetists, Royal College of Surgeons of England. Anaesthesia, 2022, 77(5): 580-587.
5. DGCH/BDC und DGAI/BDA. Empfehlungen von DGCH/BDC und DGAI/BDA zur Terminierung elektiver operativer Eingriffe nach Covid-19 Infektion und Impfung. 2021. https://www.dgai.de/alle-docman-dokumente/aktuelles/1696-stellungnahme-zu-operation-und-intervall-zu-covid19-impfung-oder-infektion-12-05-2021/file.html.
6. Noll J, Reichert M, Dietrich M, et al. When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA. Langenbecks Arch Surg, 2022, 407(4): 1315-1332.
7. COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: An international cohort study. Lancet, 2020, 396(10243): 27-38.
8. COVIDSurg Collaborative, GlobalSurg Collaborative. Timing of surgery following SARS-CoV-2 infection: An international prospective cohort study. Anaesthesia, 2021, 76(6): 748-758.
9. COVIDSurg Collaborative, GlobalSurg Collaborative. SARS-CoV-2 infection and venous thromboembolism after surgery: An international prospective cohort study. Anaesthesia, 2022, 77(1): 28-39.
10. American Society of Anesthesiologists and Anesthesia Patient Safety Foundation Joint Statement on Elective Surgery/Procedures and Anesthesia for Patients after COVID-19 Infection. 2022. https://www.apsf.org/news-updates/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection.
11. ASA and APSF joint statement on elective surgery and anesthesia for patients after COVID-19 infection. 2021. https://www.asahq.org/about-asa/newsroom/news-releases/2021/03/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection-rv.
12. Kothari AN, DiBrito SR, Lee JJ, et al. Surgical outcomes in cancer patients undergoing elective surgery after recovering from mild-to-moderate SARS-CoV-2 infection. Ann Surg Oncol, 2021, 28(13): 8046-8053.
13. Bryant JM, Boncyk CS, Rengel KF, et al. Association of time to surgery after COVID-19 infection with risk of postoperative cardiovascular morbidity. JAMA Netw Open, 2022, 5(12): e2246922.
14. Deng JZ, Chan JS, Potter AL, et al. The risk of postoperative complications after major elective surgery in active or resolved COVID-19 in the United States. Ann Surg, 2022, 275(2): 242-246.
15. Lieberman N, Racine A, Nair S, et al. Should asymptomatic patients testing positive for SARS-CoV-2 wait for elective surgical procedures? Br J Anaesth, 2022, 128(5): e311-e314.
16. Codner JA, Archer RH, Lynde GC, et al. Timing is everything: Surgical outcomes for SARS-CoV-2 positive patients. World J Surg, 2023, 47(2): 437-444.
17. Sparnon T, Hadfield M. Guidance on delay to elective surgery post recovery from SARS-COV 2 infection (5 August 2020). 2020. https://www.surgeons.org/media/Project/RACS/surgeons-org/files/news/covid19-information-hub.
18. Baiocchi G, Aguiar S Jr, Duprat JP, et al. Early postoperative outcomes among patients with delayed surgeries after preoperative positive test for SARS-CoV-2: A case-control study from a single institution. J Surg Oncol, 2021, 123(4): 823-833.
19. Ranganathan P, Salunke B, Wajekar A, et al. Outcomes of elective cancer surgery in COVID-19 survivors: An observational study. J Surg Oncol, 2023, 127(1): 11-17.
20. American College of Surgeons. COVID-19 guidelines for triage of thoracic patients. 2020. URL: https://www.facs.org/covid-19/clinical-guidance/elective-case/thoracic-cancer, accessed on 2023-01-10.
21. Passaro A, Addeo A, Von Garnier C, et al. ESMO management and treatment adapted recommendations in the COVID-19 era: Lung cancer. ESMO Open, 2020, 5(Suppl 3): e000820.
22. Şentürk M, El Tahan MR, Shelley B, et al. Thoracic anesthesia during the COVID-19 pandemic: 2021 updated recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee. J Cardiothorac Vasc Anesth, 2021, 35(12): 3528-3546.
23. Testori A, Perroni G, Voulaz E, et al. Pulmonary lobectomy after COVID-19. Ann Thorac Surg, 2021, 111(3): e181-e182.
24. Nakagomi T, Goto T, Hirotsu Y, et al. Lung cancer surgery with persistent COVID-19 infection. Ann Thorac Surg, 2022, 114(2): e79-e81.
25. Robinson DP, Smith AE, Okiror L. Lung cancer surgery in the early phase after acute COVID-19 Pneumonitis. Ann Thorac Surg, 2022, 113(4): e243-e245.
26. Komatsu H, Izumi N, Tsukioka T, et al. Lung cancer surgery after COVID-19 infection in a patient with severe interstitial pneumonia and restrictive ventilatory impairment. Surg Case Rep, 2022, 8(1): 173.
27. Sakai T, Azuma Y, Aoki K, et al. Elective lung resection after treatment for COVID-19 pneumonia. Gen Thorac Cardiovasc Surg, 2021, 69(7): 1159-1162.
28. Cone EB, Marchese M, Paciotti M, et al. Assessment of time-to-treatment initiation and survival in a cohort of patients with common cancers. JAMA Netw Open, 2020, 3(12): e2030072.
29. Hanna TP, King WD, Thibodeau S, et al. Mortality due to cancer treatment delay: Systematic review and meta-analysis. BMJ, 2020: 371m4087.
30. 李辉, 游宾, 区颂雷, 等. 新冠疫情期间胸外科手术风险管控的几点建议. 中国胸心血管外科临床杂志, 2023, 30(2): 159-161.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Research progress in the timing of thoracic surgery after SARS-CoV-2 infection

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