Video-assisted evacuation of empyema is the preferred procedure for management of pleural space infections
Background: Empyema remains a cause of morbidity and mortality. Thoracoscopy has proved its versatility in the management of pleural space disorders. The suitability of video-assisted thoracic surgery (VATS) for decortication in the management of the fibrotic stage of empyema is unclear. Methods: VA...
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| Veröffentlicht in: | The American journal of surgery 2000-01, Vol.179 (1), p.27-30 |
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| creator | Lackner, Rudy P Hughes, Rommie Anderson, Linda A Sammut, Paul H Thompson, Austin B |
| description | Background: Empyema remains a cause of morbidity and mortality. Thoracoscopy has proved its versatility in the management of pleural space disorders. The suitability of video-assisted thoracic surgery (VATS) for decortication in the management of the fibrotic stage of empyema is unclear.
Methods: VATS evacuation of empyema and decortication was performed on seventeen patients presenting with pleural space infections. A retrospective review was performed and constitutes the basis of this report.
Results: VATS evacuation of empyema and decortication was successfully performed in 13 of 17 patients. Blood loss was 325 ± 331 cc. Mean hospital stay was 18 ± 10 days. Postoperative hospitalization was 11 ± 7 days. Chest tubes remained in place for 7 ± 3 days. There were no operative mortalities.
Conclusions: Video-assisted evacuation of empyema and decortication is an effective modality in the management of the exudative and fibrinopurulent stages of empyema. An organized empyema should be approached thoracoscopically, but may require open decortication. |
| doi_str_mv | 10.1016/S0002-9610(99)00257-3 |
| format | Article |
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Methods: VATS evacuation of empyema and decortication was performed on seventeen patients presenting with pleural space infections. A retrospective review was performed and constitutes the basis of this report.
Results: VATS evacuation of empyema and decortication was successfully performed in 13 of 17 patients. Blood loss was 325 ± 331 cc. Mean hospital stay was 18 ± 10 days. Postoperative hospitalization was 11 ± 7 days. Chest tubes remained in place for 7 ± 3 days. There were no operative mortalities.
Conclusions: Video-assisted evacuation of empyema and decortication is an effective modality in the management of the exudative and fibrinopurulent stages of empyema. An organized empyema should be approached thoracoscopically, but may require open decortication.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(99)00257-3</identifier><identifier>PMID: 10737573</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Antibiotics ; Blood Loss, Surgical ; Chest Tubes ; Conversion ; Empyema ; Empyema, Pleural - diagnostic imaging ; Empyema, Pleural - surgery ; Esophagus ; Evacuation ; Exudation ; Female ; Fibrosis ; Heart failure ; Humans ; Infections ; Length of Stay - statistics & numerical data ; Male ; Management ; Middle Aged ; Morbidity ; Mortality ; Ostomy ; Patients ; Pediatrics ; Pneumonia ; Retrospective Studies ; Staphylococcus infections ; Surgery ; Thoracic Surgery, Video-Assisted ; Thorax ; Tomography, X-Ray Computed ; Tubes</subject><ispartof>The American journal of surgery, 2000-01, Vol.179 (1), p.27-30</ispartof><rights>2000 Excerpta Medica Inc.</rights><rights>Copyright Elsevier Limited Jan 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-c6dc1e55323aa0556f7217d9dd97f06401b9abec46be3e728dac17d5035865ac3</citedby><cites>FETCH-LOGICAL-c389t-c6dc1e55323aa0556f7217d9dd97f06401b9abec46be3e728dac17d5035865ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2046547486?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72341</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10737573$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lackner, Rudy P</creatorcontrib><creatorcontrib>Hughes, Rommie</creatorcontrib><creatorcontrib>Anderson, Linda A</creatorcontrib><creatorcontrib>Sammut, Paul H</creatorcontrib><creatorcontrib>Thompson, Austin B</creatorcontrib><title>Video-assisted evacuation of empyema is the preferred procedure for management of pleural space infections</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Background: Empyema remains a cause of morbidity and mortality. Thoracoscopy has proved its versatility in the management of pleural space disorders. The suitability of video-assisted thoracic surgery (VATS) for decortication in the management of the fibrotic stage of empyema is unclear.
Methods: VATS evacuation of empyema and decortication was performed on seventeen patients presenting with pleural space infections. A retrospective review was performed and constitutes the basis of this report.
Results: VATS evacuation of empyema and decortication was successfully performed in 13 of 17 patients. Blood loss was 325 ± 331 cc. Mean hospital stay was 18 ± 10 days. Postoperative hospitalization was 11 ± 7 days. Chest tubes remained in place for 7 ± 3 days. There were no operative mortalities.
Conclusions: Video-assisted evacuation of empyema and decortication is an effective modality in the management of the exudative and fibrinopurulent stages of empyema. An organized empyema should be approached thoracoscopically, but may require open decortication.</description><subject>Antibiotics</subject><subject>Blood Loss, Surgical</subject><subject>Chest Tubes</subject><subject>Conversion</subject><subject>Empyema</subject><subject>Empyema, Pleural - diagnostic imaging</subject><subject>Empyema, Pleural - surgery</subject><subject>Esophagus</subject><subject>Evacuation</subject><subject>Exudation</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Heart failure</subject><subject>Humans</subject><subject>Infections</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Management</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pneumonia</subject><subject>Retrospective Studies</subject><subject>Staphylococcus infections</subject><subject>Surgery</subject><subject>Thoracic Surgery, Video-Assisted</subject><subject>Thorax</subject><subject>Tomography, X-Ray Computed</subject><subject>Tubes</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkV9LHDEUxYNUdNV-BCVQKPowmkwm_56kSFuFBR_UvoZscsdmmZlMkxnBb9_srhTpi09JyO-cezkHoVNKLimh4uqBEFJXWlByrvVFuXNZsT20oErqiirFPqHFP-QQHeW8Lk9KG3aADimRTHLJFmj9K3iIlc055Ak8hhfrZjuFOODYYujHV-gtDhlPvwGPCVpIqWBjig78nAC3MeHeDvYZehimjWjsYE62w3m0DnAYWnAbv3yC9lvbZfj8dh6jpx_fH29uq-X9z7ubb8vKMaWnygnvKHDOamYt4Vy0sqbSa--1bIloCF1puwLXiBUwkLXy1pV_ThhXglvHjtHXnW9Z8s8MeTJ9yA66zg4Q52wkJUQ1QhXwy3_gOs5pKLuZmjSCN7JRolB8R7kUcy4JmDGF3qZXQ4nZVGG2VZhNzkZrs63CsKI7e3OfVz34d6pd9gW43gFQwngJkEx2AYaSa0glMuNj-GDEXwHgmXM</recordid><startdate>200001</startdate><enddate>200001</enddate><creator>Lackner, Rudy P</creator><creator>Hughes, Rommie</creator><creator>Anderson, Linda A</creator><creator>Sammut, Paul H</creator><creator>Thompson, Austin B</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>200001</creationdate><title>Video-assisted evacuation of empyema is the preferred procedure for management of pleural space infections</title><author>Lackner, Rudy P ; Hughes, Rommie ; Anderson, Linda A ; Sammut, Paul H ; Thompson, Austin B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-c6dc1e55323aa0556f7217d9dd97f06401b9abec46be3e728dac17d5035865ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Antibiotics</topic><topic>Blood Loss, Surgical</topic><topic>Chest Tubes</topic><topic>Conversion</topic><topic>Empyema</topic><topic>Empyema, Pleural - diagnostic imaging</topic><topic>Empyema, Pleural - surgery</topic><topic>Esophagus</topic><topic>Evacuation</topic><topic>Exudation</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Heart failure</topic><topic>Humans</topic><topic>Infections</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Management</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pneumonia</topic><topic>Retrospective Studies</topic><topic>Staphylococcus infections</topic><topic>Surgery</topic><topic>Thoracic Surgery, Video-Assisted</topic><topic>Thorax</topic><topic>Tomography, X-Ray Computed</topic><topic>Tubes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lackner, Rudy P</creatorcontrib><creatorcontrib>Hughes, Rommie</creatorcontrib><creatorcontrib>Anderson, Linda A</creatorcontrib><creatorcontrib>Sammut, Paul H</creatorcontrib><creatorcontrib>Thompson, Austin B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lackner, Rudy P</au><au>Hughes, Rommie</au><au>Anderson, Linda A</au><au>Sammut, Paul H</au><au>Thompson, Austin B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Video-assisted evacuation of empyema is the preferred procedure for management of pleural space infections</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2000-01</date><risdate>2000</risdate><volume>179</volume><issue>1</issue><spage>27</spage><epage>30</epage><pages>27-30</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Background: Empyema remains a cause of morbidity and mortality. Thoracoscopy has proved its versatility in the management of pleural space disorders. The suitability of video-assisted thoracic surgery (VATS) for decortication in the management of the fibrotic stage of empyema is unclear.
Methods: VATS evacuation of empyema and decortication was performed on seventeen patients presenting with pleural space infections. A retrospective review was performed and constitutes the basis of this report.
Results: VATS evacuation of empyema and decortication was successfully performed in 13 of 17 patients. Blood loss was 325 ± 331 cc. Mean hospital stay was 18 ± 10 days. Postoperative hospitalization was 11 ± 7 days. Chest tubes remained in place for 7 ± 3 days. There were no operative mortalities.
Conclusions: Video-assisted evacuation of empyema and decortication is an effective modality in the management of the exudative and fibrinopurulent stages of empyema. An organized empyema should be approached thoracoscopically, but may require open decortication.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>10737573</pmid><doi>10.1016/S0002-9610(99)00257-3</doi><tpages>4</tpages></addata></record> |
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| subjects | Antibiotics Blood Loss, Surgical Chest Tubes Conversion Empyema Empyema, Pleural - diagnostic imaging Empyema, Pleural - surgery Esophagus Evacuation Exudation Female Fibrosis Heart failure Humans Infections Length of Stay - statistics & numerical data Male Management Middle Aged Morbidity Mortality Ostomy Patients Pediatrics Pneumonia Retrospective Studies Staphylococcus infections Surgery Thoracic Surgery, Video-Assisted Thorax Tomography, X-Ray Computed Tubes |
| title | Video-assisted evacuation of empyema is the preferred procedure for management of pleural space infections |
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