Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=25818121
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25818121
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Thorac+Cardiovasc+Surg
2015 ; 21
(3
): 223-8
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Outcomes of Video-Assisted Thoracic Surgical Decortication in 274 Patients with
Tuberculous Empyema
#MMPMID25818121
Chen B
; Zhang J
; Ye Z
; Ye M
; Ma D
; Wang C
; Zhu C
Ann Thorac Cardiovasc Surg
2015[]; 21
(3
): 223-8
PMID25818121
show ga
OBJECTIVE: The present work aimed to retrospectively assess the outcomes
associated with decortication by video-assisted thoracic surgery (VATS) in
patients with tuberculous empyema. METHODS: Patients (n = 274) who underwent
decortication by VATS for surgical management of pleural empyema between January
2000 to 2010 were included. Pre-, intra-, and postoperative characteristics were
observed for all patients, which were followed up for 12 months to evaluate
surgical outcomes such as postoperative complications and disease recurrence.
RESULTS: No patients required conversion to thoracotomy, and no death or
postoperative bleeding was reported. The mean operation time was 104.5 ± 20.4
min, with 271.5 ± 41.3 ml intraoperative blood loss and median length of hospital
stay of 7.2 ± 3 .4 days. Of the 274 patients, 262 were followed up for 12 months;
26 (9.9%) patients showed complications, including incomplete lung re-expansion
(11 patients) and persistent air leak (6 patients). While early disease
recurrence was observed in 3 (1.1%) patients after surgery, late recurrence was
reported for 6 (2.3%) individuals. Interestingly, the complication rate was much
higher in patients with chronic empyema (15/34, 44.1%) than in subjects with
acute empyema (11/228, 4.8%). CONCLUSIONS: Decortication by VATS decreases
postsurgical complications, and results in decreased disease recurrence. This
study demonstrated improved outcomes by decortication by VATS, even in patients
with stage III tuberculous empyema.