Prospective study of thoracoscopy in empyema patients
DOI:
https://doi.org/10.18203/2349-2902.isj20182937Keywords:
Empyema thoracoscopy, Thoracotomy, Video assisted thoracoscopyAbstract
Background: Empyema thoracis is a serious problem from centuries, still causes significant morbidity and mortality if not diagnosed in early stages. The present study was conducted with the aim to evaluate the role of video assisted thoracoscopic surgery (VATS) in its management.
Methods: This prospective study was done on 15 patients in the department of General Surgery, Govt. Medical College and Sir Thakhatsinhji Hospital Bhavnagar, from August 2011 to August 2012. The demographic data, clinical presentation, etiology, and management were recorded and analyzed.
Results: None of the patients were observed with bronchopleural fistula. Majority of the patients were affected in the age group of 1-14 years (53%). Empyema was seen on left side of the lungs (73%). Etilogy of empyema was tuberculosis in 66% of the patients. Chest pain and breathlessness was seen in all in the patients (100%). No mortality was noticed in the study. The mean postoperative hospital stay was 5 days.
Conclusions: Present study shows that VATS is feasible, safe and it is an efficient procedure with decrease hospital stay and minimal complications in the management of empyema thoracis in all age groups.
Metrics
References
Ahmed AE, Yacoub TE. Empyema thoracis. Clin Med Insights Circ Respir Pulm Med. 2010;4:1-8.
Bhaskar G, Lodha R, Kabra SK. Unusual complications of empyema thoracis: diaphragmatic palsy and Horner's syndrome. Indian J Pediatr. 2006;73:941-3.
Ridley PD, Braimbridge MV. Thoracoscopic debridement and pleural irrigation in the management of empyema thoracis. Ann Thorac Surg. 1991;51(3):461-4.
Islam S, Calkins CM, Goldin AB, Chen C, Downard CD, Huang EY, et al. The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee. J Pediatr Surg. 2012;47:2101-10
Cassina PC, Hauser M, Hillejan L, Greschuchna D, Stamatis G. Video-assisted thoracoscopy in the treatment of pleural empyema: Stage-based management and outcome. J Thoracic Cardiovascular Surg. 1999;117(2):234-8.
Acharya PR, Shah KV. Empyema thoracis: a clinical study. Ann Thorac Med. 2007;2(1):14-7.
Geha AS. Pleural empyema. Changing etiologic, bacteriologic, and therapeutic aspects. J Thorac Cardiovasc Surg. 1971;61:626-35.
Sherman MM, Subramanian V, Berger RL. Management of thoracic empyema. Am J Surg. 1977;133:474-9.
Kamat. A prospective study of 100 cases of chronic empyema in Bombay. Lung India. 1985;3:15-9.
Lamas-Pinheiro R, Henriques-Coelho T, Fernandes S, Correia F, Ferraz C, Guedes-Vaz L, et al. Thoracoscopy in the management of pediatric empyemas. Revista Portuguesa de Pneumologia (English Edition). 2016;22(3):157-62.
Stefani A, Aramini B, della Casa G, Ligabue G, Kaleci S, Casali C, et al. Preoperative predictors of successful surgical treatment in the management of parapneumonic empyema. Ann Thorac Surg. 2013;96:1812-9.
Landreneau RJ, Keenan RJ, Hazelrigg SR, Mack MJ, Naunheim KS. Thoracoscopy for empyema and hemothorax. Chest. 1995;109:18-24.
Hornick P, Clark D, Townsend E, Fountain W. Videothoracoscopy in the treatment of early empyema: an initial experience. Ann R Coll Surg Engl. 1996;78:45-8.
Striffeler H, Gugger M, Im Hof V, Cerny A, Furrer M, Ris HB. Video-assisted thoracoscopic surgery for fibrinopurulent pleural empyema in 67 patients. Ann Thorac Surg. 1998;65:319-23.
Downloads
Published
How to Cite
Issue
Section
