Video-assisted thoracoscopic surgery in the treatment of chronic empyema thoracis

被引:28
|
作者
Cheng, YJ [1 ]
Wu, HH [1 ]
Chou, SH [1 ]
Kao, EL [1 ]
机构
[1] Kaohsiung Med Univ Hosp, Dept Surg, Div Thorac Surg, Kaohsiung 80708, Taiwan
关键词
video-assisted thoracoscopic surgery; thoracoscopy; empyema; decortication;
D O I
10.1007/s595-002-8107-2
中图分类号
R61 [外科手术学];
学科分类号
摘要
We prospectively analyzed the surgical results in chronic organizing empyema thoracis utilizing a video-assisted thoracoscopic technique, particularly in debilitated patients. From January 1999 to September 2000, ten patients with stage III empyema thoracis underwent video-assisted thoracoscopic surgery for decortication (VATD). The mean age of the patients was 53.2 years, and they included one female and nine male patients. Four patients were regarded as not suitable for open thoracotomy. After the procedure, all patients had one infusion tube and two 32-F chest tubes inserted, the former for irrigation with saline solution and the latter for drainage. The mean operation time was 178 min. There was no mortality. The mean time to remove the infusion tube was 3.3 days. The mean time to remove the first chest tube was 7.1 days and the second chest tube 9.7 days. The mean hospitalization time after the operation was 14.9 days. The mean follow-up was 14.9 months. A restoration of lung function was ascertained in nine patients, with a 17.6% mean increase in forced vital capacity. There was no recurrence of empyema during the follow-up. Nevertheless, a reaccumulation of pleural effusion occurred in one patient 1 month after the procedure, which thus necessitated further treatment. VATD is considered to be a feasible surgical modality for the treatment of stage III empyema thoracis in selected patients.
引用
收藏
页码:19 / 25
页数:7
相关论文
共 50 条
  • [1] Video-Assisted Thoracoscopic Surgery in the Treatment of Chronic Empyema Thoracis
    Yu-Jen Cheng
    Hsing-Hsien Wu
    Shah-Hwa Chou
    Eing-Long Kao
    [J]. Surgery Today, 2002, 32 : 19 - 25
  • [2] Results of Application of Video-Assisted Thoracoscopic Surgery for the Treatment of Empyema Thoracis
    Choi, Gi Hoon
    Choi, Goang Min
    Kim, Hyoung Soo
    Cho, Seong Joon
    Ryu, Se Min
    Ahn, Hee Cheol
    Seo, Jeong Yeol
    [J]. TUBERCULOSIS AND RESPIRATORY DISEASES, 2006, 61 (05) : 463 - 472
  • [3] Video-assisted thoracoscopic sterilization for exacerbation of chronic empyema thoracis
    Suzuki, T
    Kitami, A
    Suzuki, S
    Kamio, Y
    Narushima, M
    Suzuki, H
    [J]. CHEST, 2001, 119 (01) : 277 - 280
  • [4] Video Assisted Thoracoscopic Surgery Emerging as a Primary Treatment for Empyema Thoracis
    Balagopal, Bhagavan C.
    Goutham, Harsha
    Raju, Lohit Shetty
    [J]. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2018, 12 (03) : PC17 - PC21
  • [5] Video-assisted thoracoscopic surgery in the treatment of empyema: a case series
    Wirawan, Yustinus Rurie
    Tansil, Christophoroes Jonathan
    [J]. BALI MEDICAL JOURNAL, 2021, 10 (01) : 89 - 94
  • [6] The role of video-assisted thoracoscopic surgery in the treatment of pleural empyema
    Eryigit, Hatice
    Orki, Alpay
    Kosar, Altug
    Akin, Oral
    Kiral, Hakan
    Urek, Senol
    Arman, Bulent
    [J]. TUBERKULOZ VE TORAK-TUBERCULOSIS AND THORAX, 2007, 55 (01): : 71 - 76
  • [7] Empyema treatment: Urokinase versus video-assisted thoracoscopic surgery
    Isaacs, David
    [J]. JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 2015, 51 (04) : 465 - 465
  • [8] Video-Assisted Thoracoscopic Surgery (VATS) in a 20-Day-Old Newborn With Empyema Thoracis
    Sanghvi, Yogendra
    Kewlani, Rajesh
    Walawalkar, Avinash
    Kamat, Neemish
    Birajdar, Suresh
    [J]. INDIAN PEDIATRICS, 2021, 58 (03) : 284 - 285
  • [9] Video-Assisted Thoracoscopic Surgery (VATS) in a 20-Day-Old Newborn With Empyema Thoracis
    Yogendra Sanghvi
    Rajesh Kewlani
    Avinash Walawalkar
    Neemish Kamat
    Suresh Birajdar
    [J]. Indian Pediatrics, 2021, 58 : 284 - 285
  • [10] Comparison of urokinase and video-assisted thoracoscopic surgery for treatment of childhood empyema
    Sonnappa, Samatha
    Cohen, Gordon
    Owens, Catherine M.
    van Doorn, Carin
    Cairns, John
    Stanojevic, Sanja
    Elliott, Martin J.
    Jaffe, Adam
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2006, 174 (02) : 221 - 227