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2005•Medical Journal of West ChinaRequires access

Comparative analysis of video-assisted thoracoscopic surgery and conventional therapy for acute empyema

Huo Jian-hong

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Abstract

Objective To discuss the effect of video-assisted thoracoscopic surgery(VATS) on the treatment of acute empyema.Methods Thirty-eight cases of acute empyema were treated by VATS(Group A,n=14) and conventional therapy(thoracentesis,chest tube drainage or thoracotomy debridement)(Group B,n=24),respectively.Postoperative parameters of the two groups were analysed.Results The duration of chest tube drainage and hospitalization in Group A was shorter than that in group B(4.2±1.3)d vs(7.5±2.2)d,(11.2±3.8)d vs(18.7±5.6)d,respectively(P0.01).The ratio that acute empyema turned into chronic one was 0 in Group A and 25% in Group B.Conclusion VATS for acute empyema is more efficacious and less traumatic,and the duration of treatment is shorter.VATS will be regard as the first option to treat acute empyema.

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Objective To discuss the effect of video-assisted thoracoscopic surgery(VATS) on the treatment of acute empyema.Methods Thirty-eight cases of acute empyema were treated by VATS(Group A,n=14) and conventional therapy(thoracentesis,chest tube drainage or thoracotomy debridement)(Group B,n=24),respectively.Postoperative parameters of the two groups were analysed.Results The duration of chest tube drainage and hospitalization in Group A was shorter than that in group B(4.2±1.3)d vs(7.5±2.2)d,(11.2±3.8)d vs(18.7±5.6)d,respectively(P0.01).The ratio that acute empyema turned into chronic one was 0 in Group A and 25% in Group B.Conclusion VATS for acute empyema is more efficacious and less traumatic,and the duration of treatment is shorter.VATS will be regard as the first option to treat acute empyema.

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Available abstract

Objective To discuss the effect of video-assisted thoracoscopic surgery(VATS) on the treatment of acute empyema.Methods Thirty-eight cases of acute empyema were treated by VATS(Group A,n=14) and conventional therapy(thoracentesis,chest tube drainage or thoracotomy debridement)(Group B,n=24),respectively.Postoperative parameters of the two groups were analysed.Results The duration of chest tube drainage and hospitalization in Group A was shorter than that in group B(4.2±1.3)d vs(7.5±2.2)d,(11.2±3.8)d vs(18.7±5.6)d,respectively(P0.01).The ratio that acute empyema turned into chronic one was 0 in Group A and 25% in Group B.Conclusion VATS for acute empyema is more efficacious and less traumatic,and the duration of treatment is shorter.VATS will be regard as the first option to treat acute empyema.

Key concepts: Medicine, Empyema, Thoracotomy, Surgery, Thoracentesis, Video-assisted thoracoscopic surgery, Chest tube, Debridement (dental)

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