Preliminary recommendations for lung surgery during COVID‐19 epidemic period

• Published in: Thoracic Cancer Vol. 11; no. 6; pp. 1372 - 1374
• Main Authors: Li, Xin, Liu, Minghui, Zhao, Qingchun, Liu, Renwang, Zhang, Hongbing, Dong, Ming, Xu, Song, Liu, Jinghao, Zhao, Honglin, Wei, Sen, Song, Zuoqing, Chen, Gang, Chen, Jun
• Format: Journal Article Web Resource
• Language: English
• Published: Melbourne John Wiley & Sons Australia, Ltd 01.06.2020; John Wiley & Sons, Inc; Wiley
• Subjects: Betacoronavirus - pathogenicity; Biopsy; Commentaries; Coronavirus Infections - surgery; Coronavirus Infections - virology; Coronaviruses; COVID-19; Disease prevention; Disease transmission; Dyspnea; Epidemics; Fever; Hemoptysis; Humans; Infections; Laboratories; Lung - surgery; Lung - virology; Lungs; Medical diagnosis; Pandemics; Patients; Pneumonia; Pneumonia, Viral - surgery; Pneumonia, Viral - virology; SARS-CoV-2; Thoracic surgery; Thoracic Surgical Procedures - methods; Thoracic Surgical Procedures - trends; China
• ISSN: 1759-7706; 1759-7714
• DOI: 10.1111/1759-7714.13423

NCP has had a huge impact on the world's medical, political and economic sectors. Since March, under the efforts of the Chinese government, people and the guidance of “New Coronavirus Pneumonia Diagnosis And Treatment Program (Trial Version 7)” issued by The National Health Commission, PRC (http://www.nhc.gov.cn/yzygj/s7653p/202003/46c9294a7dfe4cef80dc7f5912eb1989.shtml), the epidemic situation has been effectively controlled and the number of people cured is now rising. In severe cases, dyspnea and/or hypoxemia usually occur one week after the onset of the disease, and in severe cases, it rapidly progresses to acute respiratory distress syndrome, septic shock, metabolic acidosis that is difficult to correct, and bleeding and coagulation dysfunction. According to the results of the national lung screening test, the malignant risk of chest CT review of 4–5 mm GGNs is 0.4% annually. In general, conventional pulmonary surgery can be divided into two categories: (i) Elective surgery: defined as operations that can be observed over three months, including various GGNs <3 cm in diameter, benign probable nodules or space‐occupying lesions in the lung with a probability of more than 70%, and benign pulmonary diseases that can be treated conservatively, such as bronchiectasis with hemoptysis, etc.