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letter
. 2020 Jul 2;28(1):16. doi: 10.1186/s43057-020-00026-z

Table 2.

Summary for decision-making in different pathologies during phase 2

Pathology What to operate What to defer
NSCLC

• Tumor-associated infection—compromising, but not septic (e.g., debulking for post-obstructive pneumonia)

• Tumor associated with hemorrhage, not amenable to nonsurgical treatment.

• Threatened airway

• As phase 1 in addition to any non-complicated NSCLC by infection or hemorrhage or airway obstruction

• Alternatives as phase 1 in addition to referral to phase 1 hospitals

Esophageal cancer Septic or non-septic perforation only Non-complicated by perforation cases
Postoperative complications (hemothorax, empyema, infected mesh, dehiscence of airway, anastomotic leak with sepsis) Hemodynamic stable or unstable patients Minor wound infections
Others

• All emergency cases as massive hemothorax, major airway injury, airway obstruction by inhaled foreign body or advanced tracheal stenosis, and diaphragmatic hernia with strangulation

• Loculated empyema with sepsis that cannot otherwise be treated

• Tension emphysematous bullae with respiratory distress

• Recurrent pneumothorax with massive air leak

• Pectus surgery

• Hyperhidrosis

• Bronchiectasis

• Tracheal resection in tracheostomized patients

• Non-malignant pleural effusion

• Elective bullectomy

• Retained bullets with no fear of migration or embolization

• Empyema that can be drained by chest tube

• Pneumothorax for pleurodesis

NSCLC non-small cell lung cancer