Chronic postpneumonic pleural empyema: comparative merits of thoracoscopic versus open decortication
نویسندگان
چکیده
منابع مشابه
Indwelling Pleural Catheter Insertion Following Inefficient Thoracoscopic Decortication in Postpneumonic Empyema: Beneficial or Contraindicated?
Video assisted thoracic surgery in advanced stage postpneumonic empyema aims for thorough debridement and washout of the pleural space followed by an attempt to release the entrapped lung (decortication). When the latter isn’t successful, and the patient is in a poor performance status, applying tube thoracostomy is the usual routine, to avoid conversion to thoracotomy and open decortication. T...
متن کاملمطالعه گذشته نگر درمان آمپیم مزمن با دو روش توراکوسکوپی و توراکوتومی
Background: Empyema remains a challenging issue for thoracic surgeons. In the early stages of empyema antibiotic therapy and pleural space drainage are the treatment of choice. In organized empyema with pleural peel and re-expandable underlying lung, decortication is the procedure of choice. There is agreement about the value of Video Assisted Thoracoscopic Surgery (VATS) in the manage...
متن کاملOpen Thoracotomy and Decortication for Chronic Empyema
OBJECTIVES Traditionally, chronic empyema has been treated by thoracotomy and decortication. Some recent reports have claimed similar clinical results for videothoracoscopy, but with less morbidity and mortality than open procedures. Our experience with thoracotomy and decortication is reviewed so that the results of this surgical procedure can be adequately evaluated. MATERIALS AND METHODS F...
متن کاملEmpyema thoracis: a role for open thoracotomy and decortication.
BACKGROUND Thoracentesis and antibiotics remain the cornerstones of treatment in stage I empyema. The management of disease progression or late presentation is controversial. Open thoracotomy and decortication is perceived to be synonymous with protracted recovery and prolonged hospitalisation. Advocates of thoracoscopic adhesiolysis cite earlier chest drain removal and hospital discharge. This...
متن کاملEmpyema thoracis: a role for open thoracotomy and decortication
Background—Thoracentesis and antibiotics remain the cornerstones of treatment in stage I empyema. The management of disease progression or late presentation is controversial. Open thoracotomy and decortication is perceived to be synonymous with protracted recovery and prolonged hospitalisation. Advocates of thoracoscopic adhesiolysis cite earlier chest drain removal and hospital discharge. This...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2009
ISSN: 1010-7940
DOI: 10.1016/j.ejcts.2009.06.017