VIDEO-ASSISTED THORACOSCOPIC TREATMENT OF PLEURAL EMPYEMA - A NEW THERAPEUTIC APPROACH

被引：23

作者：

STRIFFELER, H

RIS, HB

WURSTEN, HU

HOF, VI

STIRNEMANN, P

ALTHAUS, U

机构：

[1] Department of Thoracic and Cardiovascular Surgery, University of Bern, Bern, CH-3010, Inselspital

[2] Section of Pulmonary Diseases, University of Bern, Bern

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1994年 / 8卷 / 11期

关键词：

EMPYEMA THORACIS; MINIMAL INVASIVE SURGERY; VIDER-ASSISTED THORACOSCOPIC SURGERY;

D O I：

10.1016/1010-7940(94)90040-X

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pleural empyema is a disease which is not always recognized. Despite consecutive treatment and antibiotics its mortality rate is still high, especially in older patients with concomitant disease or in the case of delayed treatment. We report our experience with early video-assisted thoracoscopic surgery of pleural empyema in 13 patients, where chest tube drainage had failed. The clinical symptoms of empyema did not exceed 14 days, bacteriologic cultures were positive in 62%. In all patients the fever disappeared within 1 to 5 days (mean 3.5) postoperatively and they remained in hospital for an average of 11.5 days after video-assisted thoracoscopic surgery. Pulmonary function tests 6 months later revealed normal values without a substantial loss of lung volumes. No relapse of empyema occurred.

引用

页码：585 / 588

页数：4

共 11 条

[1]

Benfield G., Recent trends in empyema thoracis, Br J Dis Chest, 75, pp. 358-366, (1982)

[2]

Fraedrich G., Flofmann P., Effenhauser P., Jander R., Instillation of fibrinolytic enzymes in the treatment of pleural empyema, Thorac Cardiovasc Surg, 30, pp. 36-38, (1982)

[3]

Hutter J.A., Harari D., The management of empyema thoracis by thoracoscopy and irrigation, Ann Thorac Surg, 39, 6, pp. 517-520, (1985)

[4]

Jess P., Brynitz S., Moller A.F., Mortality in thoracic empyema, Scand J Thorac Cardiovasc Surg, 18, pp. 85-87, (1984)

[5]

Leblanc K.A., Tucker W.Y., Empyema of the thorax, Surg Gynecol Obstet, 158, pp. 66-70, (1984)

[6]

Lemmer J.H., Botham M.J., Orringer M.B., Modern management of adult thoracic empyema, J Thorac Cardiovasc Surg, 90, pp. 849-855, (1985)

[7]

Mandal A.K., Thadepalli H., Treatment of spontaneous bacterial empyema, J Thorac Cardiovasc Surg, 94, pp. 414-418, (1987)

[8]

Neild J.E., Gorgach S.L., Thadepalli H., Finegold S.M., Bacteriology of empyema, Lancet, 1, pp. 338-340, (1974)

[9]

Ridley P.D., Braimbridge M.W., Thoracoscopic debridement and pleural irrigation in the management of empyema thoracis, Ann Thorac Surg, 51, pp. 461-464, (1991)

[10]

Toomes H., Vogt-Moykopf I., Ahrendt J., Decortication of the lung, Thorac Cardiovasc Surg, 31, pp. 338-341, (1983)

← 1 2 →