Single Trocar Thoracoscopic Surgery for Pleural Empyema in Children

被引:2
|
作者
Hung Do Manh [1 ,2 ]
Quang Nguyen Thanh [1 ,2 ]
Liem Nguyen Thanh [3 ]
Linh Nguyen Van [1 ,2 ]
机构
[1] Natl Childrens Hosp, Dept Urol, Hanoi, Vietnam
[2] Natl Childrens Hosp, Dept Gen Surg, Hanoi, Vietnam
[3] Vinmec Int Hosp, Dept Pediat Surg, Hanoi, Vietnam
关键词
pleural empyema; thoracoscopic surgery; COMPLICATED PARAPNEUMONIC EFFUSIONS; ASSISTED THORACIC-SURGERY; MANAGEMENT; DECORTICATION;
D O I
10.1089/lap.2019.0637
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aim: To present outcomes of single trocar thoracoscopic surgery in the treatment of pleural empyema (PE) in children. Patients and Methods: The thoracoscopic surgery was performed using a single trocar inserted through the fifth intercostal space. A conventional rigid scope with a working channel was used. Pleural fluid was aspirated, followed by debridement and ablation of all septa using one instrument through the working channel. Results: Sixty patients from 1 month to 14 years of age underwent surgery without any intraoperative complications or death. The mean operative time was 67 +/- 21 minutes. There was no conversion to open thoracotomy. Postoperative complications occurred in 4 patients. Reoperation was required in 1 patient. Mean duration of postoperative hospitalization was 15 +/- 9 days. Follow-up was obtained in 57 patients and resulted in normal clinical and chest X-ray findings in all patients. Conclusion: Single trocar thoracoscopic operation is safe, feasible, and effective in the treatment of PE in children. A future study with control group is required to draw accurate conclusions.
引用
收藏
页码:707 / 712
页数:6
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