• Int. J. Gynecol. Cancer · Aug 2020

    COVID-19: gynecologic cancer surgery at a single center in Madrid.

    • Javier de Santiago, Carmen Yelo, Maria F Chereguini, Ana Conde, Javier Galipienzo, David Salvatierra, Manuel Linero, and Sonsoles Alonso.
    • Gynecology, MD Anderson Cancer Center Madrid, Madrid, Spain.
    • Int. J. Gynecol. Cancer. 2020 Aug 1; 30 (8): 1108-1112.

    ObjectivesWhile numerous medical facilities have been forced to suspend oncological surgery due to system overload, debate has emerged on using non-surgical options on cancer cases during the pandemic. The goal of our study was to analyze, in a retrospective cohort study, the results of gynecological cancer surgery and evaluate postoperative complications in a single center in one of the most affected areas in Europe.MethodsWe retrospectively analyzed the records of patients who were referred between March 2020 and May 2020 for primary surgical treatment of breast, endometrial, ovarian, cervical, or vulvar cancer.ResultsThe study included a total of 126 patients. Median age was 60 years (range 29-89). Patients were referred with breast (76/126, 60.3%), endometrial (29/126, 23%), ovarian (14/126, 11.1%), cervical (5/126, 4%), or vulvar cancer (2/126, 1.6%). Polymerase chain reaction (PCR) test for detection of severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) was only conducted in 50% of cases due to the low availability of tests during the first phase of our study, and was indicated only in suspected cases according to the healthcare authorities' protocol. Median hospital stay was 1 day (range 0-18). Excluding breast surgery, laparoscopy was the most used procedure (43/126, 34.1%). 15 patients had a postoperative complication (15/126, 11.9%); only in 2 patients (2/15 13.3%) were there reports of Clavien-Dindo grade 3 or 4 complications. 6 patients tested positive for COVID-19 following a PCR diagnostic test, and these surgeries were cancelled.ConclusionsAdequate protective measures in the setting of COVID-19 free institutions enabled the continuity of cancer surgery without significant compromise of the safety of patients or healthcare workers.© IGCS and ESGO 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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