Gastric Cancer Surgery During the Pandemic: What It Costs?

Yazıcı, Hilmi; Eren, Ali Erhan; Uprak, Tevfik Kıvılcım; Sahan, Cihan; Esmer, Ahmet Cem; Yeğen, Cumhur

doi:10.1007/s12029-021-00751-6

Cited by 2 publications

(3 citation statements)

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“…The literature indicates a decrease in the proportion of patients in stages I or II and an increase in those in stages III or IV [16]. This trend also applies to tumor invasion, where an increase in the proportion of patients with T3 or T4 has been observed [4,28]. Considering that the differences are not statistically significant, these increases can be justified by the delayed surgical treatment due to imposed restrictions and patients' fear of visiting hospitals during this period.…”

Section: Discussionmentioning

confidence: 98%

“…Some institutions have opted to isolate patients for a period of 3 to 5 days prior to surgery during the pandemic, aiming to minimize the risk of COVID-19 infection or a false negative result on RT-PCR testing. Regarding the duration of postoperative hospitalization, it averaged around 10–15 days during this period, with the goal of minimizing contact with the hospital environment and reducing the risk of infection as much as possible [ 9 , 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Regarding patient prognosis, studies in the literature indicate a slight increase in postoperative mortality rate, although not statistically significant [ 29 ]. The delay of surgical treatment by 2, 4, 6, or 8 weeks does not impact patient prognosis, particularly in stages I or II [ 9 , 13 , 16 , 28 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

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The Challenges of Gastric Cancer Surgery during the COVID-19 Pandemic

Feier,

Faur,

Muntean

et al. 2023

Healthcare

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. The aim of this study was to quantify the impact of the COVID-19 pandemic on the surgical treatment of patients with gastric cancer. Data from patients undergoing surgery for gastric cancer during the pandemic were analyzed and the results obtained were compared with the corresponding periods of 2016–2017 and 2018–2019. Various parameters were taken into consideration and their dynamics highlight significant changes in the pandemic year compared with the two pre-pandemic periods. Statistical analysis revealed a marked decrease in the number of surgeries performed during the pandemic (p < 0.001). Severe prognostic factors for gastric cancer, including weight loss and upper gastrointestinal hemorrhage, were associated with an increased number of postoperative fistulas, while emesis was statistically correlated with a more advanced cancer stage (p < 0.011). There was also a reduction in the total duration of hospitalization (p = 0.044) and postoperative hospitalization (p = 0.047); moreover, the mean duration of surgical intervention was higher during the pandemic (p = 0.044). These findings provide evidence for the significant changes in clinical and therapeutic strategies applied to patients undergoing surgery for gastric cancer during the study period. The ongoing pandemic has exerted a substantial and complex impact, the full extent of which remains yet to be fully comprehended.

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Section: Discussionmentioning

confidence: 98%