• Glauco Baiocchi, Samuel Aguiar, Joao P Duprat, CoimbraFelipe J FFJFDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil., Fabiana B Makdissi, José G Vartanian, Stenio de C Zequi, Jefferson L Gross, Suely A Nakagawa, Guilherme Yazbek, Thiago P Diniz, Bruna T Gonçalves, Charles E Zurstrassen, Heloisa G do A Campos, Eduardo H G Joaquim, Ivan A França E Silva, and Luiz P Kowalski.
• Division of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
• J Surg Oncol. 2021 Mar 1; 123 (4): 823-833.

BackgroundThere are limited data on surgical complications for patients that have delayed surgery after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We aimed to analyze the surgical outcomes of patients submitted to surgery after recovery from SARS-CoV-2 infection.MethodsAsymptomatic patients that had surgery delayed after preoperative reverse-transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 were matched in a 1:2 ratio for age, type of surgery and American Society of Anesthesiologists to patients with negative RT-PCR for SARS-CoV-2.ResultsAbout 1253 patients underwent surgical procedures and were subjected to screening for SARS-CoV-2. Forty-nine cases with a delayed surgery were included in the coronavirus disease (COVID) recovery (COVID-rec) group and were matched to 98 patients included in the COVID negative (COVID-neg) group. Overall, 22 (15%) patients had 30-days postoperative complications, but there was no statistically difference between groups -16.3% for COVID-rec and 14.3% for COVID-neg, respectively (odds ratio [OR] 1.17:95% confidence interval [CI] 0.45-3.0; p = .74). Moreover, we did not find difference regarding grades more than or equal to 3 complication rates - 8.2% for COVID-rec and 6.1% for COVID-neg (OR 1.36:95%CI 0.36-5.0; p = .64). There were no pulmonary complications or SARS-CoV-2 related infection and no deaths within the 30-days after surgery.ConclusionsOur study suggests that patients with delayed elective surgeries due to asymptomatic preoperative positive SARS-CoV-2 test are not at higher risk of postoperative complications.© 2021 Wiley Periodicals LLC.

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