Abstract
Introduction and importance
This case report describes postoperative complications in a patient after hybrid oesophagectomy for oesophageal carcinoma after COVID pneumonia. The global COVID-19 pandemic affected cancer patients indicated for surgery. Covid 19 may worsen the results of oesophageal cancer surgery. More similar studies are needed.
Case presentation
A 69-year-old male was diagnosed with squamous cell carcinoma of the middle oesophagus based on PET/CT without disease generalisation. His stenotic tumour required a nutritive jejunostomy, with subsequent neoadjuvant radiochemotherapy indicated according to the CROSS protocol. The patient developed COVID pneumonia during the cancer therapy. After managing the COVID pneumonia, oncological therapy was completed and a hybrid oesophagectomy was performed 8 weeks later. Serious complications (respiratory failure, septic shock, anastomosis dehiscence) developed during the postoperative period. All complications were managed therapeutically. The patient was type IVb according to the Clavien-Dindo classification.
Clinical discussion
Postoperative complications may develop in any patient operated for oesophageal carcinoma, especially if high-risk predictive factors are present. The question arises as to how much the post-COVID condition affected the onset of these serious complications.
Conclusion
Post-COVID patients are at a risk of developing post-COVID syndrome, which may lead to a wide range of symptoms in the affected organs. Further studies on the relationship between COVID-19 and oesophagectomy for oesophageal carcinoma will be necessary to clarify the relationship between the complications during the postoperative period in patients with oesophageal malignancy.
【저자키워드】 Antibiotics, Computed tomography, Positron emission tomography, CTComputed Tomography, X-rayX-ray examination, X-ray examination, PETPositron Emission Tomography, ECCGEsophagectomy Complications Concensus Group – ECCG, Esophagectomy Complications Concensus Group – ECCG, SUVstandardized uptake values, standardized uptake values, EUSEndosonography, Endosonography, ATBAntibiotics, CROSSChemoRadiotherapy for Oesophageal cancer followed by Surgery Study PR - partial response, ChemoRadiotherapy for Oesophageal cancer followed by Surgery Study PR - partial response, 【초록키워드】 COVID-19, therapy, protocol, Respiratory failure, COVID-19 pandemic, Cancer, risk, Cancer therapy, Symptom, Case report, clinical, male, Patient, Septic shock, Complication, complications, COVID pneumonia, disease, Postoperative complication, PET/CT, malignancy, cancer patient, Predictive, Factor, syndrome, organs, oesophagus, Cell, affected, develop, indicated, subsequent, diagnosed, required, was performed, question, postoperative, arise, similar study, 【제목키워드】 COVID-19, Pneumonia, Case report, Complication, hybrid,