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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Indian+J+Gynecol+Oncol 2021 ; 19 (2): 29 Nephropedia Template TP
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Optimising Cancer Surgery During COVID-19: Experience of Tertiary Cancer Centre in Eastern India #MMPMID33786366
Das R; Nahak SR; Parija J; Das PK; Sarangi L; Devi P; Pathy PC
Indian J Gynecol Oncol 2021[]; 19 (2): 29 PMID33786366show ga
PURPOSE: The timely management of cancer surgery suffered due to COVID-19 and nationwide lockdown. Continuing cancer surgery was a challenge faced by all. We present our experience on cancer surgery in a cancer centre with high volume of patients and limited resources during early pandemic. METHODS: We retrospectively analysed our operation theatre database on surgery and anaesthesia from 1st April to 30th June 2020. RESULTS: A total of 457 surgeries were done-complex major, major, intermediate and minor surgeries constituted 43%, 25%, 12% and 20%, respectively. Median age of patient was 50 years, and 76% were below 60. The median ASA class was I (I-IV), and 97% were ASA I and II. The median Eastern Cooperative Oncology Group score was 0 (0-3), and 92% had score 0 and 1. Major cases done under regional anaesthesia were 30.7%. Median length of intensive care unit stay was 1 (1-6) days, and length of hospital stay was 7 (7-15) days. Clavien-Dindo Grade II complication in patients above 60 years was 16.4% and below 60 years was 17.6% (p = 0.76). 10% in ASA I compared to 26% of ASA II (p = 0.00) and 15.9% with ECOG 0 and 1 compared to 30.9% with ECOG 3 and 4 (p = 0.01) had grade II complication. Four (1%) patients had Grade >/= III CD complication. Covid testing was undertaken in 52% patients pre-operatively, and there was no positive case in post-operative period. CONCLUSIONS: Adopting and implementing institutional policy catering to limited resource available at our centre, we facilitated cancer surgery.