The Efficacy of VATS and Intrapleural Fibrinolytic Therapy in Parapneumonic Empyema Treatment

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dc.contributor.authorSamancilar, Ozgur
dc.contributor.authorAkcam, Tevfik Ilker
dc.contributor.authorKaya, Seyda Ors
dc.contributor.authorOzturk, Ozgur
dc.contributor.authorAkcay, Onur
dc.contributor.authorCeylan, Kenan Can
dc.date.accessioned2019-10-27T10:46:28Z
dc.date.available2019-10-27T10:46:28Z
dc.date.issued2018
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: 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.en_US
dc.identifier.doi10.5761/atcs.oa.17-00153en_US
dc.identifier.endpage24en_US
dc.identifier.issn1341-1098
dc.identifier.issn2186-1005
dc.identifier.issue1en_US
dc.identifier.pmid29343663en_US
dc.identifier.startpage19en_US
dc.identifier.urihttps://doi.org/10.5761/atcs.oa.17-00153
dc.identifier.urihttps://hdl.handle.net/11454/31302
dc.identifier.volume24en_US
dc.identifier.wosWOS:000427020500004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMedical Tribune Incen_US
dc.relation.ispartofAnnals of Thoracic and Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectempyemaen_US
dc.subjectfibrinolytic therapyen_US
dc.subjectoperationen_US
dc.subjectvideothoracoscopyen_US
dc.titleThe Efficacy of VATS and Intrapleural Fibrinolytic Therapy in Parapneumonic Empyema Treatmenten_US
dc.typeArticleen_US

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