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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 7/2021

01-07-2021 | Computed Tomography | Case Report

Elective lung resection after treatment for COVID-19 pneumonia

Authors: Takashi Sakai, Yoko Azuma, Kotaro Aoki, Megumi Wakayama, Shion Miyoshi, Kazuma Kishi, Kazuhiro Tateda, Sakae Homma, Akira Iyoda

Published in: General Thoracic and Cardiovascular Surgery | Issue 7/2021

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Abstract

A 65-year-old man with coronavirus disease 2019 (COVID-19) was admitted to our hospital. Computed tomography detected bilateral pneumonia with a lung nodule suspicious for lung cancer. Lobectomy was performed 3 months after the treatment for COVID-19 without any complications. The surgical specimen revealed fibrosis below the pleura with a small collection of lymphocytes and intravascular hemorrhagic thrombosis, and no residual RNA was detected. This is the first report describing a surgical specimen after recovery from COVID-19 pneumonia, and suggests that elective thoracic surgery can be performed safely, depending on the patient’s respiratory function, without infectious risk.
Literature
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Antonoff M, Backhus L, Boffa DJ, Broderick SR, Brown LM, Carrott P, et al. COVID-19 guidance for triage of operations for thoracic malignancies: a consensus statement from thoracic surgery outcomes research network. Ann Thorac Surg. 2020;110:692–6.CrossRef
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Nepogodiev D, Bhangu A, Glasbey JC, Li E, Omar OM, Simoes JF, et al. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study. Lancet. 2020;396:27–38.CrossRef
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Tian S, Hu W, Niu L, Liu H, Xu H, Xiao S. Pulmonary pathology of early-phase 2019 novel coronavirus (COVID-19) pneumonia in two patients with lung cancer. J Thorac Oncol. 2020;15:700–4.CrossRef
Metadata
Title
Elective lung resection after treatment for COVID-19 pneumonia
Authors
Takashi Sakai
Yoko Azuma
Kotaro Aoki
Megumi Wakayama
Shion Miyoshi
Kazuma Kishi
Kazuhiro Tateda
Sakae Homma
Akira Iyoda
Publication date
01-07-2021
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 7/2021
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-021-01630-4

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