Video-assisted Thoracoscopic Decortication for Management of Postpneumonia Empyema / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 21-25, 2003.
Article
Dans Coréen
| WPRIM
| ID: wpr-50340
ABSTRACT
BACKGROUND:
Video-assisted thoracoscopic surgery (VATS) for decortication or debridement in the management of empyema thoracis has increased the available treatment options but requires validation. We present and evaluate our technique and experience with thoracoscopic management of pleural empyema, irrespective of chronicity. MATERIAL ANDMETHOD:
VATS debridement or decortication was performed with endoscopic shaver system in 40 consecutive patients presented with pleural space infections. A retrospective review was performed and the effect of this technique on perioperative outcome was assessed.RESULT:
VATS evacuation of infected pleural fluid and decortication was successfully performed in 35 of 40 patients. The mean duration of preoperative symptoms before referral was 23 +/- 1.8 days. The mean duration of hospitalization before transfer was 13.5 +/- 1.5 days. Blood loss was 250 to 200 mL. Intercostal drainage was required for 5 +/- 3 days. The postoperative hospital stay was 5 +/- 0.7 days. There were no operative mortalities.CONCLUSION:
Video-assisted evacuation of infected pleural fluid and decortication is an effective modality in the management of the fibropurulent stage of empyema. An organized empyema should be approached thoracoscopically, but may require open decortication.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Orientation vers un spécialiste
/
Thoracoscopie
/
Drainage
/
Études rétrospectives
/
Mortalité
/
Empyème pleural
/
Chirurgie thoracique vidéoassistée
/
Débridement
/
Empyème
/
Hospitalisation
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2003
Type:
Article
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