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Recommendations for acting in elective and urgent thoracic surgery during SARS-CoV-2 pandemic. Spanish Society of Thoracic Surgery
Recomendaciones de actuación en cirugía torácica electiva y urgente en contexto de pandemia por SARS-CoV-2 de la Sociedad Española de Cirugía Torácica (SECT)
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José R. Jaraboa,
Corresponding author
jrjarabo@hotmail.com

Corresponding author.
, Néstor Martínezb, Alberto Cabañeroc, Sergi Calld, José L. Campo-Cañaverale, Ángel Cilleruelof, Usue Caballeroc, Andrés Obesog, José L. Recueroh, Sebastián Sevillai, Florentino Hernandoa
a Servicio de Cirugía Torácica, Hospital Clínico San Carlos, Madrid, Spain
b Servicio de Cirugía Torácica, Hospital de la Ribera, Alzira, Valencia, Spain
c Servicio de Cirugía Torácica, Hospital Ramón y Cajal, Madrid, Spain
d Servicio de Cirugía Torácica, Hospital Mútua de Terrassa, Terrassa, Barcelona, Spain
e Servicio de Cirugía Torácica, Hospital Puerta de Hierro-Majadahonda, Majadahonda, Madrid, Spain
f Servicio de Cirugía Torácica, Hospital Clínico Universitario, Valladolid, Spain
g Servicio de Cirugía Torácica, Hospital Clínico Universitario, Santiago de Compostela, La Coruña, Spain
h Servicio de Cirugía Torácica, Hospital Universitario Miguel Servet, Zaragoza, Spain
i Servicio de Cirugía Torácica, Complejo Hospitalario de Jaén, Jaén, Spain
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Received 24 May 2020. Accepted 17 August 2020
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Tables (4)
Table 1. Recommendations of the Spanish Association of Surgeons (AEC) for the organization of a surgical service.
Table 2. Alert scenarios according to the expansion of the SARS-CoV-2 pandemic.
Table 3. Considerations regarding the use of local therapies as an alternative to surgical resection in select cases of early-stage BC.
Table 4. Criteria for a cure in potential organ donors with COVID-19 disease.
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Abstract

Expansion of the pandemic produced by new coronavirus SATS-CoV-2 has made healthcare focused on patients with COVID-19 disease, leading to discontinue most of elective surgical procedures. Being thoracic surgery eminently oncological, an optimal triage of patients amenable to be safely operated on is mandatory. Moreover, severe pulmonary involvement by COVID-19 causes complications frequently needing urgent thoracic surgical procedures under a new context. The Spanish Society of Thoracic Surgery (SECT) has developed this document to establish basic recommendations to keep up essential elective surgical activity and to guide surgeons facing thoracic urgencies in this new and unknown environment.

Keywords:
COVID-19
SARS-CoV-2
Thoracic surgery
Safety
Recommendations
Resumen

La expansión de la pandemia producida por el nuevo coronavirus SARS-CoV-2 ha obligado a focalizar casi toda la asistencia sanitaria en pacientes con enfermedad COVID-19, obligando a suspender la mayoría de intervenciones quirúrgicas electivas programadas. La cirugía torácica es eminentemente oncológica, por lo que resulta obligada una adecuada priorización de los pacientes para ser intervenidos lo antes posible y en condiciones de máxima seguridad. Por otra parte, la afectación pulmonar grave COVID-19 presenta complicaciones que con frecuencia requieren procedimientos quirúrgicos torácicos urgentes en un contexto nuevo. La Sociedad Española de Cirugía Torácica (SECT) ha desarrollado este documento para establecer unas recomendaciones básicas para mantener la actividad quirúrgica electiva imprescindible y para orientar a los cirujanos que deban afrontar urgencias torácicas en este nuevo y desconocido entorno.

Palabras clave:
COVID-19
SARS-CoV-2
Cirugía torácica
Seguridad
Recomendaciones

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