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Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema

BACKGROUND: Post-pneumonectomy empyema is a major therapeutic challenge in thoracic surgery. The presence or absence of a concomitant bronchopleural fistula directs treatment of this condition. When there is no bronchopleural fistula the condition is classically treated with thoracostomy drainage, i...

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Detalles Bibliográficos
Autores principales: Podbielski, Francis J., Halldorsson, Ari O., Vigneswaran, Wickii T.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 1997
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016734/
https://www.ncbi.nlm.nih.gov/pubmed/9876682
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author Podbielski, Francis J.
Halldorsson, Ari O.
Vigneswaran, Wickii T.
author_facet Podbielski, Francis J.
Halldorsson, Ari O.
Vigneswaran, Wickii T.
author_sort Podbielski, Francis J.
collection PubMed
description BACKGROUND: Post-pneumonectomy empyema is a major therapeutic challenge in thoracic surgery. The presence or absence of a concomitant bronchopleural fistula directs treatment of this condition. When there is no bronchopleural fistula the condition is classically treated with thoracostomy drainage, irrigation and antibiotic instillation with closure. This approach is, however, associated with a significant rate of primary failure. Alternative modified techniques involve opening the thoracic cavity widely with serial debridement followed by interval closure. Multiple surgical procedures often require a protracted hospital stay. METHODS: We describe a technique in three patients utilizing video-assisted thoracoscopic surgery for debridement and closure of the pneumonectomy cavity. CONCLUSION: Advantages of this technique include debridement under direct visualization, low morbidity, and potential for a shorter hospital stay.
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spelling pubmed-30167342011-02-17 Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema Podbielski, Francis J. Halldorsson, Ari O. Vigneswaran, Wickii T. JSLS Scientific Papers BACKGROUND: Post-pneumonectomy empyema is a major therapeutic challenge in thoracic surgery. The presence or absence of a concomitant bronchopleural fistula directs treatment of this condition. When there is no bronchopleural fistula the condition is classically treated with thoracostomy drainage, irrigation and antibiotic instillation with closure. This approach is, however, associated with a significant rate of primary failure. Alternative modified techniques involve opening the thoracic cavity widely with serial debridement followed by interval closure. Multiple surgical procedures often require a protracted hospital stay. METHODS: We describe a technique in three patients utilizing video-assisted thoracoscopic surgery for debridement and closure of the pneumonectomy cavity. CONCLUSION: Advantages of this technique include debridement under direct visualization, low morbidity, and potential for a shorter hospital stay. Society of Laparoendoscopic Surgeons 1997 /pmc/articles/PMC3016734/ /pubmed/9876682 Text en © 1997 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Podbielski, Francis J.
Halldorsson, Ari O.
Vigneswaran, Wickii T.
Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema
title Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema
title_full Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema
title_fullStr Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema
title_full_unstemmed Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema
title_short Video-Assisted Thoracoscopic Management of Post-Pneumonectomy Empyema
title_sort video-assisted thoracoscopic management of post-pneumonectomy empyema
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016734/
https://www.ncbi.nlm.nih.gov/pubmed/9876682
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