Early Aggressive Surgical Treatment of Multiloculated Empyema
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 202-206, 2017.
Article
em En
| WPRIM
| ID: wpr-111246
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: Empyema is the collection of purulent exudate within the pleural space. Overall, 36%–65% of patients with empyema cannot be treated by medical therapy alone and require surgery. Multiloculated empyema is particularly difficult to treat with percutaneous drainage. Therefore, we describe our experiences with early aggressive surgical treatment for rapid progressive multiloculated empyema. METHODS: From January 2001 to October 2015, we retrospectively reviewed 149 patients diagnosed with empyema who received surgery. The patients were divided into 2 groups according to whether they underwent emergency surgery or not. We then compared surgical outcomes between these groups. RESULTS: The patients in group A (emergency surgery, n=102) showed a more severe infectious state, but a lower complication rate and shorter length of hospital stay. The incidence of lung abscess was higher in group A, and abscesses were associated with diabetes and severe alcoholism. CONCLUSION: Early aggressive surgical treatment resulted in good surgical outcomes for patients with rapid progressive multiloculated empyema. Furthermore, we suspect that the most likely causes of multiloculated empyema are lung abscesses found in patients with diabetes mellitus as well as severe alcoholism.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Doenças Pleurais
/
Drenagem
/
Incidência
/
Estudos Retrospectivos
/
Diabetes Mellitus
/
Abscesso
/
Alcoolismo
/
Emergências
/
Empiema
/
Exsudatos e Transudatos
Tipo de estudo:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2017
Tipo de documento:
Article