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Video-assisted Thoracoscopy in the Treatment of Multi Loculated Pleural Effusion and Empyema  

김영진 (건양대학교 의과대학 흉부외과학교실)
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Journal of Chest Surgery / v.37, no.2, 2004 , pp. 160-165 More about this Journal
Abstract
Successful treatment of multi-loculated pleural effusion or thoracic empyema requires effective drainage and definitive diagnosis of causative organism. The purpose of this study was to assess the efficacy of the video-assisted thoracoscopic surgery in the management of thoracic empyema or multi-loculated pleural effusion after chest tube drainage treatment had failed. Material and Method: Between April 2000 and July 2002, 20 patients with thoracic empyema or multi-loculated pleural effusion that failed to chest tube drainage or other procedures who underwent an operation. All patients were assessed by chest-computed tomogram and underwent video assisted thoracoscopic drainage, debridement, biopsy and irrigation of pleural cavity. Result: In 18 cases (90%), underwent successful video-assisted thoracoscopic surgery. In 2 cases, decortications by mini-thoracotomy were necessary. The ratio of sex was 4 : 1 (16 male: 4 female), mean age was 48.9 years old (range, 17∼72 years), mean duration of postoperative chest tube placement was 8.2 days (range, 4∼22 days), mean postoperative hospital stay was 15.2 days (range, 7∼33 days). Causative disease was tuberculosis, pneumonia, trauma and metastatic breast cancer, There were no major postoperative complications. Symptoms improved in all patients and were discharged with OPD follow up. Conclusion: In an early organizing phase of empyema or multi loculated pleural effusion, video-assisted thoracoscopic drainage and debridement are safe and suitable treatment.
Keywords
Pleural effusion; Empyema; Thoracoscopy;
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1 VATS debridement versus thoracotomy in the treatment of loculated post pneumonia empyema /
[ Mackinley TA;Lyons GA;Chimondeguy DJ, et al. ] / Ann Thorac Surg   DOI
2 Video-assisted thoracoscopiy in the treatment of pleural empyema: stage-based management and outcome /
[ Cassina PC;Hauser M;Hillejan L;Gireschuchna D;Stamatis G ] / J Thorac Cardiovasc Surg   DOI   ScienceOn
3 Para pneumonic effusion and empyema /
[ Light RW ] / Clin Chest Med
4 The Pleura /
[ DeMeester TR;Lafontaine ET;Sabiston DC(ed.);Frank FC(ed.) ] / Surgery of the chest. 5th ed.
5 A randomizes trial of empyema therapy /
[ Wait MA;SharmaS;Hohn J;Dal Nogare A ] / Chest   DOI   ScienceOn
6 Thoracoscopy for empyema and hemothorax /
[ Landreneau RJ;Keenan RJ;Hazelrigg SR, et al. ] / Chest
7 Video thoracoscopy in the treatment of early empyema: an initial experience /
[ Homick P;Clark D;Townsena E;Fountain W ] / Ann R Coll Surg Engl
8 Early thorcotomy and decortication for non-tuber-culous empyema in adults with and without underlying disease: a twenty-five year review /
[ Mayo P ] / Am Surg
9 Video-assisted thoracoscopic surgery for fibrinopurulent pleural empyema in 67 patients /
[ Striffeler H;Gugger M;Im Hof V, et al. ] / Ann Thorac Surg   DOI   ScienceOn
10 Early thoracoscopic debridement and drainage as definite treatment for pleural empyema /
[ Sendt W;Forster E;Hau T ] / Eur J Surg
11 VATS debridment versus thoracotomy in the treatments of loculated postpneumonia empyema /
[ Mackinly TA;Lyons GA;Chimondeguy DJ;Piedras MA;Angamaro G;Emery J ] / Ann Thorac Surg   DOI