The Efficacy of VATS and Intrapleural Fibrinolytic Therapy in Parapneumonic Empyema Treatment
Küçük Resim Yok
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Medical Tribune Inc
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: Development of multiloculation-septation is a challenging entity in empyema patients. In this study, it is aimed to investigate the success rates of videothoracoscopic deloculation (VATS-D) and intrapleural fibrinolytic (IPFib) application after tube thoracostomy. Methods: The study retrospectively examined the patients diagnosed with empyema with multiloculation and septation between January 2005 and December 2014. Among these patients, the study included those who received VATS-D or IPFib therapy. Results: VATS-D (Group 1) was applied to 54 patients and IPFib (Group 2) was applied to 24 patients. The success of both procedures was evaluated considering the need of decortication in the following periods. In the VATS-D group, 4 (7.4%) patients required decortication via thoracotomy where it was 1 (4.1%) patient (p = 0.577) in the IPFib group. The length of hospital stay was 6.81 +/- 2.55 (4-15) days in Group 1 compared to 14.25 +/- 6.44 (7-27) days in Group 2 (p < 0.001). Conclusions: It was demonstrated that both of the methods applied in the study have high efficacy and are preferable methods based on the general conditions of patients. Additionally, the shorter length of hospital stays in patients received VATS-D was established as a significant parameter.
Açıklama
Anahtar Kelimeler
empyema, fibrinolytic therapy, operation, videothoracoscopy
Kaynak
Annals of Thoracic and Cardiovascular Surgery
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
24
Sayı
1
