Patient with gastric cancer who underwent distal gastrectomy after treatment of COVID-19 infection diagnosed by preoperative PCR screening
Abstract Background Because of the coronavirus disease 2019 (COVID-19) pandemic, preoperative screenings for COVID-19 infection are often performed in many institutions. Some patients are diagnosed with COVID-19 infection by antigen tests or polymerase chain reaction (PCR) testing for COVID-19, even...
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Japan Surgical Society
2022-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01367-z |
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| author | Akiharu Kimura Nobuhiro Morinaga Wataru Wada Kyoichi Ogata Takayuki Okuyama Hiroyuki Kato Makoto Sohda Ken Shirabe Hiroshi Saeki |
| author_facet | Akiharu Kimura Nobuhiro Morinaga Wataru Wada Kyoichi Ogata Takayuki Okuyama Hiroyuki Kato Makoto Sohda Ken Shirabe Hiroshi Saeki |
| author_sort | Akiharu Kimura |
| collection | DOAJ |
| description | Abstract Background Because of the coronavirus disease 2019 (COVID-19) pandemic, preoperative screenings for COVID-19 infection are often performed in many institutions. Some patients are diagnosed with COVID-19 infection by antigen tests or polymerase chain reaction (PCR) testing for COVID-19, even if they have no symptoms, such as fever or respiratory symptoms. We herein describe a patient with gastric cancer who underwent distal gastrectomy 6 weeks after recovering from COVID-19 infection diagnosed by preoperative PCR. Case presentation An 86-year-old man was transferred to our hospital because of hematemesis and melena. A hemorrhagic gastric ulcer was found in the lesser curvature of the antrum by emergency endoscopy. Endoscopic hemostasis was performed, and he was discharged after recovery. A tumor-like lesion in the lesser curvature of the antrum was found on repeat endoscopy and was diagnosed as well-differentiated adenocarcinoma by biopsy. There was no evidence of lymph node metastasis or distant metastasis; therefore, we planned radical surgery. However, he was diagnosed with COVID-19 infection by preoperative PCR screening. Although he had no symptoms, such as fever or respiratory symptoms, he was hospitalized because of his advanced age. He was discharged 10 days after admission, and repeat COVID-19 PCR was negative. We planned radical surgery for the stomach tumor 6 weeks after recovery from the COVID-19 infection. A PCR-negative COVID-19 status was confirmed again before hospitalization. Open distal gastrectomy with Billroth I reconstruction was performed. We avoided ultrasonic scalpels and used a Crystal Vision 450D surgical smoke evacuator (I.C. Medical, Inc., Phoenix, AZ, USA) to reduce intraoperative surgical smoke. The postoperative course was uneventful. Conclusion Because of the COVID-19 pandemic, some patients are diagnosed with COVID-19 infection by preoperative antigen tests or PCR, even if they have no symptoms. If possible, elective surgery should be performed 4 to 6 weeks after recovery from COVID-19 infection to maximize safety. Moreover, surgeons must consider intraoperative surgical smoke. |
| format | Article |
| id | doaj-art-da8d8d0bfb844f5d91106f0419d47b44 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-da8d8d0bfb844f5d91106f0419d47b442025-08-20T03:19:54ZengJapan Surgical SocietySurgical Case Reports2198-77932022-01-01811610.1186/s40792-022-01367-zPatient with gastric cancer who underwent distal gastrectomy after treatment of COVID-19 infection diagnosed by preoperative PCR screeningAkiharu Kimura0Nobuhiro Morinaga1Wataru Wada2Kyoichi Ogata3Takayuki Okuyama4Hiroyuki Kato5Makoto Sohda6Ken Shirabe7Hiroshi Saeki8Department of Surgery, Kiryu Kosei General HospitalDepartment of Surgery, Kiryu Kosei General HospitalDepartment of Surgery, Kiryu Kosei General HospitalDepartment of Surgery, Kiryu Kosei General HospitalDepartment of Surgery, Kiryu Kosei General HospitalDepartment of Surgery, Kiryu Kosei General HospitalDepartment of General Surgical Science, Graduate School of Medicine, Gunma UniversityDepartment of General Surgical Science, Graduate School of Medicine, Gunma UniversityDepartment of General Surgical Science, Graduate School of Medicine, Gunma UniversityAbstract Background Because of the coronavirus disease 2019 (COVID-19) pandemic, preoperative screenings for COVID-19 infection are often performed in many institutions. Some patients are diagnosed with COVID-19 infection by antigen tests or polymerase chain reaction (PCR) testing for COVID-19, even if they have no symptoms, such as fever or respiratory symptoms. We herein describe a patient with gastric cancer who underwent distal gastrectomy 6 weeks after recovering from COVID-19 infection diagnosed by preoperative PCR. Case presentation An 86-year-old man was transferred to our hospital because of hematemesis and melena. A hemorrhagic gastric ulcer was found in the lesser curvature of the antrum by emergency endoscopy. Endoscopic hemostasis was performed, and he was discharged after recovery. A tumor-like lesion in the lesser curvature of the antrum was found on repeat endoscopy and was diagnosed as well-differentiated adenocarcinoma by biopsy. There was no evidence of lymph node metastasis or distant metastasis; therefore, we planned radical surgery. However, he was diagnosed with COVID-19 infection by preoperative PCR screening. Although he had no symptoms, such as fever or respiratory symptoms, he was hospitalized because of his advanced age. He was discharged 10 days after admission, and repeat COVID-19 PCR was negative. We planned radical surgery for the stomach tumor 6 weeks after recovery from the COVID-19 infection. A PCR-negative COVID-19 status was confirmed again before hospitalization. Open distal gastrectomy with Billroth I reconstruction was performed. We avoided ultrasonic scalpels and used a Crystal Vision 450D surgical smoke evacuator (I.C. Medical, Inc., Phoenix, AZ, USA) to reduce intraoperative surgical smoke. The postoperative course was uneventful. Conclusion Because of the COVID-19 pandemic, some patients are diagnosed with COVID-19 infection by preoperative antigen tests or PCR, even if they have no symptoms. If possible, elective surgery should be performed 4 to 6 weeks after recovery from COVID-19 infection to maximize safety. Moreover, surgeons must consider intraoperative surgical smoke.https://doi.org/10.1186/s40792-022-01367-zCOVID-19Preoperative screeningGastric cancerDistal gastrectomySurgical smoke |
| spellingShingle | Akiharu Kimura Nobuhiro Morinaga Wataru Wada Kyoichi Ogata Takayuki Okuyama Hiroyuki Kato Makoto Sohda Ken Shirabe Hiroshi Saeki Patient with gastric cancer who underwent distal gastrectomy after treatment of COVID-19 infection diagnosed by preoperative PCR screening Surgical Case Reports COVID-19 Preoperative screening Gastric cancer Distal gastrectomy Surgical smoke |
| title | Patient with gastric cancer who underwent distal gastrectomy after treatment of COVID-19 infection diagnosed by preoperative PCR screening |
| title_full | Patient with gastric cancer who underwent distal gastrectomy after treatment of COVID-19 infection diagnosed by preoperative PCR screening |
| title_fullStr | Patient with gastric cancer who underwent distal gastrectomy after treatment of COVID-19 infection diagnosed by preoperative PCR screening |
| title_full_unstemmed | Patient with gastric cancer who underwent distal gastrectomy after treatment of COVID-19 infection diagnosed by preoperative PCR screening |
| title_short | Patient with gastric cancer who underwent distal gastrectomy after treatment of COVID-19 infection diagnosed by preoperative PCR screening |
| title_sort | patient with gastric cancer who underwent distal gastrectomy after treatment of covid 19 infection diagnosed by preoperative pcr screening |
| topic | COVID-19 Preoperative screening Gastric cancer Distal gastrectomy Surgical smoke |
| url | https://doi.org/10.1186/s40792-022-01367-z |
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