Video-assisted thoracoscopic decortication for management of postpneumonic pleural empyema

Kim, Boyoung; Oh, Bong-Suk; Jang, Won-Chae; Min, Yu-Sun; Park, Young-Kyu; Park, Jong-Cheol

doi:10.1016/j.amjsurg.2004.06.009

Cited by 59 publications

(58 citation statements)

References 18 publications

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“…Subsequent studies supported the original conclusions and made certain remarks on the limitations of this procedure in the treatment of empires (25). The effectiveness of the treatment of empyema by this method varies between 68 -93%, but very often correlates with the patient group examined.…”

Section: Use Of Video -Assisted Thoracoscopic Surgery (Vats) In mentioning

confidence: 67%

Pleural Empyema Menagement: A Brief Review of Litterature

Arsenijević

Milisavljević

Mrvic

et al. 2018

Serbian Journal of Experimental and Clinical Research

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Section: Use Of Video -Assisted Thoracoscopic Surgery (Vats) In mentioning

confidence: 67%

Pleural Empyema Menagement: A Brief Review of Litterature

Arsenijević

Milisavljević

Mrvic

et al. 2018

Serbian Journal of Experimental and Clinical Research

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“…Complications were associated with longer hospitalization time (11)(12)(13) days in the uncomplicated group vs 23 (QR 18-29) days in the complicated group, p < 0.001), postoperative time (7 (QR 6-8) vs 20 (QR 14-25) days, p < 0.001) and ICU time (1 (QR 0-1) vs 1 (QR 1-2) day, p = 0.028).…”

Section: Resultsmentioning

confidence: 96%

“…Successfully done VATS, being less invasive, provides the additional advantages of decreased postoperative discomfort, pain, better cosmetics, higher patient satisfaction and shorter hospitalization time, especially if performed relatively early (5,8,9,11). However, in up to 59% of patients VATS is inadequate and conversion to open thoracotomy is necessary during the same operation (12,13). Re-do surgery after VATS (when disease remains or complication occurs) reaches up to 11.5% and is higher compared to direct open thoracotomy (5,9).…”

Section: Introductionmentioning

confidence: 99%

Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures

Jagelavičius¹,

Jovaišas²,

Matačiūnas³

et al. 2015

AML

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Background. Empyema remains a challenging entity for thoracic surgeons. The aim of this study was to evaluate preoperative predictors for unsuccessful thoracoscopic empyemectomy and postoperative complications.Materials and methods. There were 71 patients prospectively included in the study during the period from January 2011 to June 2014 in whom we performed thoracoscopic empyemectomy. Two main outcomes were evaluated: conversion and complications. Preoperative factors that could predict these outcomes were analyzed.Results. Conversion to open thoracotomy was required in 25.4% of cases. Fourteen (19.7%) patients had postoperative complications. The multivariate analysis showed that the time of illness (odds ratio 1.1; confidence interval 1.1-1.2), normal temperature on admission (odds ratio 11.2; confidence interval 1.5-85.4) and frank pus found on thoracocentesis (odds ratio 6.9; confidence interval 1.6-29.4) had a significant influence on conversion from thoracoscopy to open thoracotomy. Pain (odds ratio 0.01; confidence interval <0.01-0.6), subfebrile temperature on admission (odds ratio 10.1; confidence interval 1.4-73.5), positive pleural culture (odds ratio 8.5; confidence interval 1.0-70.1), Charlson comorbidity index (odds ratio 2.3; confidence interval 1.1-4.8), empyema volume (odds ratio 1.002; confidence interval 1.000-1.005) and empyema density (odds ratio 0.8; confidence interval 0.6-1.0) had a significant influence on postoperative complications.Conclusions. Longer time of illness, normal temperature on admission and frank pus in pleural aspiration increase probability of conversion. No pain, subfebrile temperature, higher Charlson comorbidity index on admission, positive pleural culture, higher volume and lower density of empyema on computed tomography scan increase probability of postoperative complications.

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“…Because we found no evidence of other possible causes and there were no contraindications to surgery, we determined that the only effective therapy would be surgical decortication with the aim of removing the fibrous cortex lying on the pleura 7. With recent advancements in medical technology, a thoracoscopic procedure is now a feasible choice for decortications 8, 9, 10. According to current reports, it has produced rewarding results in many cases.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic decortication for the management of trapped lung caused by 14‐year pneumothorax: A case report

et al. 2018

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Trapped lung is defined by the lung's inability to expand and fill the thoracic cavity because of a restricting “peel” caused by benign or malignant pleural disease. However, trapped lung secondary to pneumothorax is rarely reported. We present a case of trapped lung caused by a pneumothorax that occurred some 14 years before the patient presented to our hospital with a complaint of incapacitating dyspnea. Computed tomography (CT) scans revealed trapping of the right lung with abnormal thickening of the visceral pleura. In view of the patient's history of pneumothorax, we concluded that his dyspnea was attributable mainly to the trapping of his lung by the earlier pneumothorax. We therefore scheduled thoracoscopic decortication, which was successfully completed. The patient's recovery after the operation was uneventful, and seven weeks after surgery the right lung had re‐expanded well.

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Video-assisted thoracoscopic decortication for management of postpneumonic pleural empyema

Cited by 59 publications

References 18 publications

Pleural Empyema Menagement: A Brief Review of Litterature

Pleural Empyema Menagement: A Brief Review of Litterature

Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures

Thoracoscopic decortication for the management of trapped lung caused by 14‐year pneumothorax: A case report

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