Objective As the Coronavirus Disease 2019 pandemic continues, appropriate management of thoracic complications from Coronavirus Disease 2019 needs to be determined. Our objective is to evaluate which complications occurring in patients with Coronavirus Disease 2019 require thoracic surgery and to report the early outcomes. Methods This study is a single-institution retrospective case series at New York University Langone Health Manhattan campus evaluating patients with confirmed Coronavirus Disease 2019 infection who were hospitalized and required thoracic surgery from March 13 to July 18, 2020. Results From March 13 to August 8, 2020, 1954 patients were admitted to New York University Langone Health for Coronavirus Disease 2019. Of these patients, 13 (0.7%) required thoracic surgery. Two patients (15%) required surgery for complicated pneumothoraces, 5 patients (38%) underwent pneumatocele resection, 1 patient (8%) had an empyema requiring decortication, and 5 patients (38%) developed a hemothorax that required surgery. Three patients (23%) died after surgery, 9 patients (69%) were discharged, and 1 patient (8%) remains in the hospital. No healthcare providers were positive for Coronavirus Disease 2019 after the surgeries. Conclusions Given the 77% survival, with a majority of patients already discharged from the hospital, thoracic surgery is feasible for the small percent of patients hospitalized with Coronavirus Disease 2019 who underwent surgery for complex pneumothorax, pneumatocele, empyema, or hemothorax. Our experience also supports the safety of surgical intervention for healthcare providers who operate on patients with Coronavirus Disease 2019. Graphical abstract Flowchart demonstrating the main findings of this study. Of the 1954 patients admitted during the study period for COVID-19, 13 (0.7%) required thoracic surgery for the following indications: 2 pneumothoraces, 5 pneumatoceles, 1 empyema, and 5 hemothoraces; 77% of the patients survived, with no transmission of COVID-19 to any providers. Although rare, thoracic surgery for complications associated with COVID-19 is feasible and safe for patients and providers. COVID-19, Coronavirus Disease 2019.
【저자키워드】 COVID-19, COVID-19, Coronavirus disease 2019, SARS-CoV-2, Severe acute respiratory syndrome coronavirus 2, Pneumothorax, ARDS, acute respiratory distress syndrome, PPE, Personal protective equipment, CT, Computed tomography, Empyema, Hemothorax, pneumatocele, rtPCR, reverse transcriptase polymerase chain reaction, VATS, video-assisted thoracoscopic surgery, VV-ECMO, veno-venous extracorporeal membrane oxygenation,