Early Video-assisted Thoracic Surgery in the Management of Empyema

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Early video-assisted thoracic surgery in the management of empyema.

OBJECTIVE The appropriate timing, as well as the type of intervention, for the treatment of empyema in children is controversial. The advent of video-assisted thoracic surgery (VATS) has changed the way we treat these children. Therefore, we reviewed our experience with the early use of VATS in the treatment of empyema and formulated a treatment algorithm. METHODS We retrospectively reviewed ...

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Video-assisted thoracic surgery in the treatment of posttraumatic empyema.

BACKGROUND Video-assisted thoracic surgery (VATS) appears to be replacing open thoracotomy for the treatment of posttraumatic thoracic complications. OBJECTIVE To compare operative times, complication rates, and outcomes in patients who underwent VATS vs open thoracotomy. DESIGN Retrospective review. SETTING University hospital, level I trauma center. PATIENTS Trauma patients who betwee...

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Video-assisted thoracic surgery for fibropurulent thoracic empyema: a bridge to open thoracic surgery.

BACKGROUND Thoracic empyema remains a serious problem. OBJECTIVE We evaluated the feasibility and efficacy of video-assisted thoracic surgery (VATS) for fibropurulent thoracic empyema. PATIENTS AND METHODS Twenty-six consecutive patients with thoracic empyema resistant to medical therapy were treated by VATS from 1997 to 2006. The presence of pleural adhesion was not a contraindication. Pat...

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Video-Assisted Thoracoscopic Surgery in the Management of Pediatric Empyema

BACKGROUND Management of empyema in children has progressed from open thoracotomy to video-assisted thoracoscopic surgery (VATS). The purpose of the present study was to evaluate the efficacy and safety of VATS in children with multiloculated empyemas. METHODS Nine children (mean age, 4 years; range, 21 months to 13 years) with empyema, in whom multiple loculations were found on computed tomo...

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Comparison of Video-Assisted Thoracoscopic Surgery and Intrapleural Urokinase as an Initial Treatment for Parapneumonic Effusion and Thoracic Empyema

Introduction: The treatment of complicated parapneumonic effusion (PPE) and thoracic empyema (TE) is controversial; and the choice of treatment after confirming the failure of simple drainage remains unclear. The purpose of this study was to compare the outcomes of intrapleural urokinase (UK) administration and video-assisted thoracoscopic surgery (VATS) as initial treatment options for PPE and...

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ژورنال

عنوان ژورنال: Pediatrics

سال: 1999

ISSN: 0031-4005,1098-4275

DOI: 10.1542/peds.103.5.e63