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2017 ; 50
(3
): 202-206
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Early Aggressive Surgical Treatment of Multiloculated Empyema
#MMPMID28593157
Baek JH
; Lee YU
; Lee SS
; Lee JH
; Lee JC
; Kim MS
Korean J Thorac Cardiovasc Surg
2017[Jun]; 50
(3
): 202-206
PMID28593157
show ga
BACKGROUND: Empyema is the collection of purulent exudate within the pleural
space. Overall, 36%-65% of patients with empyema cannot be treated by medical
therapy alone and require surgery. Multiloculated empyema is particularly
difficult to treat with percutaneous drainage. Therefore, we describe our
experiences with early aggressive surgical treatment for rapid progressive
multiloculated empyema. METHODS: From January 2001 to October 2015, we
retrospectively reviewed 149 patients diagnosed with empyema who received
surgery. The patients were divided into 2 groups according to whether they
underwent emergency surgery or not. We then compared surgical outcomes between
these groups. RESULTS: The patients in group A (emergency surgery, n=102) showed
a more severe infectious state, but a lower complication rate and shorter length
of hospital stay. The incidence of lung abscess was higher in group A, and
abscesses were associated with diabetes and severe alcoholism. CONCLUSION: Early
aggressive surgical treatment resulted in good surgical outcomes for patients
with rapid progressive multiloculated empyema. Furthermore, we suspect that the
most likely causes of multiloculated empyema are lung abscesses found in patients
with diabetes mellitus as well as severe alcoholism.