Konstantinos Grapatsas, Arben Xhambazi, Mohammad Jamshidof, Emmanouil Dimopoulos, Benjamin Ehle, Athanasios Papatriantafyllou, Francesk Mulita, Levan Tchabashvili, Elias Liolis, Konstantinos Tasios, Andreas Antzoulas, Dimitrios Litsas, Konstantinos Skevis, Nikolas Drakos, Efstratios Koletsis, Manfred Dahm, Vasileios Leivaditis
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引用次数: 0
Abstract
Introduction: Postpneumonectomy empyema (PPE) poses a substantial postoperative risk, even in the absence of a bronchopleural fistula, often necessitating surgical intervention for resolution.
Aim: To evaluate the efficacy of video-assisted thoracic surgery (VATS) in managing PPE, supported by a comprehensive review of pertinent literature.
Material and methods: Six studies were included in this analysis, encompassing 63 PPE cases treated with VATS. Patient ages ranged from 16 to 74 years, with prevalent bacterial strains identified within the Staphylococcus and Streptococcus genera.
Results: Hospital stays extended up to 94 days, with 4 patients requiring thoracostomy for infection management. Postoperatively, 1 patient succumbed to complications. VATS holds promise as a viable therapeutic modality for definitive PPE management.
Conclusions: In instances of bronchopleural fistula or persistent empyema, consideration should be given to open revision procedures.
期刊介绍：
Polish Journal of Thoracic and Cardiovascular Surgery is a quarterly aimed at cardiologists, cardiosurgeons and thoracic surgeons. Includes the original works (experimental, research and development), illustrative and casuistical works about cardiology and cardiosurgery.
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