{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T04:13:57Z","timestamp":1728015237856},"reference-count":0,"publisher":"Care Comm","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Persp In Surg"],"published-print":{"date-parts":[[2024,2,15]]},"abstract":"<jats:p>Introduction: COVID-19 is considered a respiratory virosis in its classic form, although it may present with heterogeneous symptoms. Thoracic complications occur in a small percentage of patients. Our objective was to evaluate existing experience with this disease and its thoracic manifestations and to determine the real-world status of care of these patients.\nMethods: This study is a retrospective, single-institution analysis of a group of patients hospitalized with acute and post-acute COVID-19 pneumonia at Thomayer Hospital in Prague in the period from December 2020 to March 2022 and indicated for a thoracic surgical procedure.\nResults: During the peak of COVID-19 pandemic, a thoracic intervention was performed in 46 admitted patients. Thoracic drainage (due to pneumothorax in 18 cases, fluidothorax in 3 cases, CT-guided lung abscess drainage in 2 cases, and CT-guided pneumatocele drainage in 2 cases) were the most common thoracic surgical procedures. Pleurectomy\/decortication surgery was done in 10 cases. Additionally, 12 lung parenchyma-sparing resections were performed, while lobectomy was required in 2 cases. Resection of postintubation tracheal stenosis due to a severe course of COVID-19 pneumonia was indicated in 2 patients.\nConclusion: Even mild COVID-19 may cause a considerable morphological a functional alteration of the respiratory system. The most common complications of COVID-19 pneumonia that require a thoracic surgical intervention include pathologies associated with an air leak and accumulation of air (pneumothorax, pneumomediastinum and subcutaneous emphysema). The development of pulmonary necrosis, symptomatic bronchiectasis, pneumatocele, and bullous-fibrotic formations may result in pneumothorax, hemothorax or thoracic empyema in sporadic cases. An early thoracic surgical intervention to treat thoracic complications of COVID-19 pneumonia can improve the survival of COVID-19 patients.<\/jats:p>","DOI":"10.33699\/pis.2024.103.2.57-64","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T07:08:21Z","timestamp":1713683301000},"source":"Crossref","is-referenced-by-count":0,"title":["The role of thoracic surgery in the management of complicated acute and post-acute\nCOVID-19 pneumonia (PASC)"],"prefix":"10.48095","volume":"103","member":"28151","published-online":{"date-parts":[[2024,2,15]]},"container-title":["Perspectives in Surgery"],"original-title":[],"deposited":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T11:45:57Z","timestamp":1727955957000},"score":1,"resource":{"primary":{"URL":"https:\/\/perspinsurg.com\/rvch\/article\/view\/955"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,15]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2,15]]},"published-print":{"date-parts":[[2024,2,15]]}},"URL":"https:\/\/doi.org\/10.33699\/pis.2024.103.2.57-64","relation":{},"subject":[],"published":{"date-parts":[[2024,2,15]]}}}