Annals of Thoracic and Cardiovascular Surgery最新文献_第10页

Beta-Blocker Landiolol Hydrochloride in Preventing Atrial Fibrillation Following Cardiothoracic Surgery: A Systematic Review and Meta-Analysis. -受体阻滞剂盐酸兰地洛尔预防心胸外科术后房颤:一项系统综述和荟萃分析。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2021-08-20 DOI: 10.5761/atcs.ra.21-00126

Jianqi Hao, Jian Zhou, Wenying Xu, Cong Chen, Jian Zhang, Haoning Peng, Lunxu Liu

{"title":"Beta-Blocker Landiolol Hydrochloride in Preventing Atrial Fibrillation Following Cardiothoracic Surgery: A Systematic Review and Meta-Analysis.","authors":"Jianqi Hao, Jian Zhou, Wenying Xu, Cong Chen, Jian Zhang, Haoning Peng, Lunxu Liu","doi":"10.5761/atcs.ra.21-00126","DOIUrl":"https://doi.org/10.5761/atcs.ra.21-00126","url":null,"abstract":"Objective: The purpose of this article was to assess the benefit of perioperative administration of the intravenous beta-blocker landiolol hydrochloride in preventing atrial fibrillation (AF) after cardiothoracic surgery.Methods: We performed a systematic search in PubMed, Web of Science, CNKI, and OVID to identify randomized controlled trials (RCTs) and cohorts up to January 2021. Data regarding postoperative atrial fibrillation (POAF) and safety outcomes were extracted. Odds ratios (ORs) with 95% confidence intervals (CIs) were determined using the Mantel-Haenszel method. Meanwhile, subgroup analyses were conducted according to surgery type including lung cancer surgery, esophageal cancer surgery, and cardiac surgery.Results: Seventeen eligible articles involving 1349 patients within 13 RCTs and four cohorts were included in our meta-analysis. Compared with control group, landiolol administration was associated with a significant reduction of the occurrence of AF after cardiothoracic surgery (OR = 0.32, 95% CI 0.23-0.43, P <0.00001). In addition, the results demonstrated that perioperative administration of landiolol hydrochloride minimized the occurrence of postoperative complications (OR = 0.48, 95% CI 0.33-0.70, P = 0.0002). Funnel plots indicated no obvious publication bias.Conclusions: Considering this analysis, landiolol was effective in the prevention of AF after cardiothoracic surgery and did not increase the risk of major postoperative complications.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 1","pages":"18-31"},"PeriodicalIF":1.3,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/32/ef/atcs-28-018.PMC8915935.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39334465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A Nationwide Survey of Surgical Treatment for Severe Ischemic Mitral Regurgitation. 严重缺血性二尖瓣反流手术治疗的全国调查。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2021-08-02 DOI: 10.5761/atcs.oa.21-00048

Akihiro Masuzawa, Tomomitsu Takagi, Hirokuni Arai, Goro Matsumiya, Shuichiro Takanashi, Hitoshi Yaku, Tatsuhiko Komiya, Yoshiro Matsui, Satoru Wakasa, Takashi Kunihara

{"title":"A Nationwide Survey of Surgical Treatment for Severe Ischemic Mitral Regurgitation.","authors":"Akihiro Masuzawa, Tomomitsu Takagi, Hirokuni Arai, Goro Matsumiya, Shuichiro Takanashi, Hitoshi Yaku, Tatsuhiko Komiya, Yoshiro Matsui, Satoru Wakasa, Takashi Kunihara","doi":"10.5761/atcs.oa.21-00048","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00048","url":null,"abstract":"Objective: Mitral subvalvular procedures in addition to restrictive annuloplasty are promising for ischemic mitral regurgitation (IMR). However, the prevalence and efficacy of specific subvalvular repair in severe IMR have not been elucidated. This is the first nationwide survey regarding surgeons' attitudes toward IMR in Japan.Methods: A questionnaire was sent to 543 institutions. From 2015 to 2019, numbers of elective first-time mitral valve replacement (MVR) with/without complete chordal preservation (CCP)/papillary muscle approximation (PMA) and mitral valvuloplasty (MVP) with/without papillary muscle relocation (PMR)/PMA in patients with severe IMR were collected. Concomitant procedures for coronary artery, tricuspid valve, and arrhythmia could be included but left ventricular reconstruction was excluded.Results: Completed questionnaires were received from 286 institutions (52.7%). The majority (90%) had less than 20 cases within 5 years. The number of MVP (1413, 61.5%) surpassed MVR (886, 38.5%). CCP was performed in half of MVR (50.0%), while PMA was included in only 1.9% of MVR. PMA and PMR were also performed infrequently, in only 7.7% and 10.9% of MVP, respectively.Conclusion: Japanese surgeons aggressively perform MVP for severe IMR. Subvalvular repair was also aggressively performed in addition to MVR, but not to MVP. A multicenter registry study is in progress.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 1","pages":"56-62"},"PeriodicalIF":1.3,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/d0/atcs-28-056.PMC8915939.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39264321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cystotomy with Non-Capitonnage in Treating Children with Pulmonary Hydatid Disease. 非资本化膀胱切除术治疗儿童肺包虫病。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2021-07-28 DOI: 10.5761/atcs.oa.20-00390

Taozhen He, Xiaoyan Sun, Zhong Zhang, Bing Xu, Wenying Liu

{"title":"Cystotomy with Non-Capitonnage in Treating Children with Pulmonary Hydatid Disease.","authors":"Taozhen He, Xiaoyan Sun, Zhong Zhang, Bing Xu, Wenying Liu","doi":"10.5761/atcs.oa.20-00390","DOIUrl":"https://doi.org/10.5761/atcs.oa.20-00390","url":null,"abstract":"Purpose: Pulmonary parenchyma saving method (cystotomy and enucleation) has been globally accepted in lung hydatidosis. However, whether capitonnage is performed or not after cystotomy is still controversial. This study aims to improve the diagnosis and treatment of patients.Methods: We retrospectively analyzed the data of 12 pediatric patients with pulmonary hydatid cysts. These 12 patients (10 males and 2 females), with an average age of 8.7 years, underwent cystotomy without capitonnage. The mean follow-up period was 36 months.Results: Among the 12 patients, 10 underwent thoracotomy cystotomy and 2 underwent thoracoscopic surgery with excellent outcomes except one case of postoperative broncho-pleura fistula, which was treated through thoracoscopic surgery. The mean hospital stay was 8 days. No death or recurrence occurred during the follow-up period.Conclusion: Good therapeutic effect can be expected by combining cystotomy of pulmonary hydatid cysts with postoperative anti-hydatid drug therapy. For those unruptured (uncomplicated) hydatid lung cysts, cystotomy with the non-capitonnage method seems to be the best option, which needs to be verified by well-designed studies.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 1","pages":"41-47"},"PeriodicalIF":1.3,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/a0/atcs-28-041.PMC8915934.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39255452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Therapeutic-Dose Warfarin (International Normalized Ratio >1.6) Plus Aspirin Improved Long-Term Patency of Saphenous Vein Graft without Bleeding Complication. 治疗剂量华法林(国际标准化比值>1.6)加阿司匹林可改善移植大隐静脉长期通畅，无出血并发症。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2022-01-17 DOI: 10.5761/atcs.oa.21-00236

Dai Tasaki, Hirokuni Arai, Kenji Yokoyama, Tomoya Yoshizaki

{"title":"Therapeutic-Dose Warfarin (International Normalized Ratio >1.6) Plus Aspirin Improved Long-Term Patency of Saphenous Vein Graft without Bleeding Complication.","authors":"Dai Tasaki, Hirokuni Arai, Kenji Yokoyama, Tomoya Yoshizaki","doi":"10.5761/atcs.oa.21-00236","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00236","url":null,"abstract":"Purpose: Saphenous vein graft (SVG) is the most commonly used conduits in coronary artery bypass grafting (CABG), but the disadvantage of SVG is its tendency for progressive failure. We hypothesized that therapeutic-dose warfarin (international normalized ratio [INR] >1.6) plus aspirin improve SVG patency. This study aimed to evaluate the factors contributing to SVG patency.Methods: Since 2010-2020, 199 patients who underwent isolated CABG using SVG were divided into two groups according to their INR values in the first year: group T (INR >1.6) and group L (INR <1.6).Results: Group T had 162 SVGs (105 patients) and group L had 151 SVGs (94 patients). The 1-, 4-, and 7-year SVG patency rates were higher in group T than in group L (99%, 96%, and 92% vs. 93%, 86%, and 79%, respectively; p = 0.00378). The 1-, 4-, and 7-year freedom from repeat-revascularization was higher in group T than in group L (100%, 100%, and 99% vs. 98%, 95%, and 87%, respectively; p = 0.0264). Multivariate analysis showed that therapeutic-dose warfarin (p = 0.00204) and target vessel diameter (p <0.0001) were independent risk factors of SVG occlusion.Conclusion: Therapeutic-dose warfarin (INR >1.6) plus aspirin after CABG improved the long-term patency of SVG and decreased repeat-revascularization rate.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 1","pages":"63-71"},"PeriodicalIF":1.3,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3e/5b/atcs-28-063.PMC8915932.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39701451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Japanese Society for Cardiovascular Surgery, The Japanese Association for Thoracic Surgery and The Japanese Association for Coronary Artery Surgery Do Not Endorse Chapter 7.1 in the 2021 ACC/AHA/SCAI Coronary Revascularization Guidelines. 日本心血管外科学会、日本胸外科协会和日本冠状动脉外科协会不认可2021 ACC/AHA/SCAI冠状动脉重建术指南第7.1章。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2022-02-10 DOI: 10.5761/atcs.s.22-10000

引用次数: 0

Extraluminal Placement of a Bronchial Blocker Compared with Carbon Dioxide Artificial Pneumothorax in Infants Undergoing Video-Assisted Thoracoscopic Surgery. 经电视胸腔镜手术的婴儿在腔外放置支气管阻断剂与二氧化碳人工气胸的比较。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2021-07-23 DOI: 10.5761/atcs.oa.21-00050

Jing Wang, Wen-Peng Xie, Yu-Qing Lei, Ling-Shan Yu, Zeng-Chun Wang, Hua Cao, Qiang Chen

{"title":"Extraluminal Placement of a Bronchial Blocker Compared with Carbon Dioxide Artificial Pneumothorax in Infants Undergoing Video-Assisted Thoracoscopic Surgery.","authors":"Jing Wang, Wen-Peng Xie, Yu-Qing Lei, Ling-Shan Yu, Zeng-Chun Wang, Hua Cao, Qiang Chen","doi":"10.5761/atcs.oa.21-00050","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00050","url":null,"abstract":"Objective: To investigate the safety and effectiveness of extraluminal placement of a bronchial blocker compared with carbon dioxide (CO2) artificial pneumothorax in infants undergoing video-assisted thoracoscopic surgery (VATS).Methods: The study involved 33 infants (group A) who underwent one-lung ventilation (OLV) with extraluminal placement of a bronchial blocker and 35 other infants (group B) who underwent CO2 artificial pneumothorax. Clinical characteristics, the degree of lung collapse, and complications were compared.Results: The degree of lung collapse in group A was significantly higher than that in group B at T2 and T3. The mean arterial pressure (MAP) of group B was significantly lower than that of group A at 10 min and 30 min after OLV. The partial pressure of carbon dioxide (PaCO2) of group B was significantly higher than that of group A at 30 min after OLV. The incidence of hypotension in group B was higher than that in group A.Conclusion: Compared with CO2 artificial pneumothorax, extraluminal placement of a bronchial blocker is associated with a better degree of lung collapse, fewer episodes of hypotension, and lower PaCO2 accumulation during OLV in infants undergoing VATS.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 1","pages":"48-55"},"PeriodicalIF":1.3,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/f9/atcs-28-048.PMC8915942.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39218781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evidence and Challenges in Left Atrial Appendage Management. 左心耳治疗的证据与挑战。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2021-07-31 DOI: 10.5761/atcs.ra.21-00040

Taira Yamamoto, Daisuke Endo, Satoshi Matsushita, Akie Shimada, Keisuke Nakanishi, Tohru Asai, Atsushi Amano

{"title":"Evidence and Challenges in Left Atrial Appendage Management.","authors":"Taira Yamamoto, Daisuke Endo, Satoshi Matsushita, Akie Shimada, Keisuke Nakanishi, Tohru Asai, Atsushi Amano","doi":"10.5761/atcs.ra.21-00040","DOIUrl":"https://doi.org/10.5761/atcs.ra.21-00040","url":null,"abstract":"This review aimed to discuss the anatomical properties of the left atrial appendage (LAA), its relationship with atrial fibrillation (AF), effectiveness of LAA occlusion (LAAO), techniques, and new devices used to perform this procedure. An electronic search was performed to identify studies, in the English language, on LAA management. Searches were performed on PubMed Central, Scopus, and Medline from the dates of database inception to February 2020. For the assessed papers, data were extracted from the reviewed text, tables, and figures, by two independent authors. Anticoagulant therapy for patients with AF has proven beneficial and is highly recommended, but it is challenging for many patients to maintain optimal treatment. Surgery is the most cost-effective option; surgical methods include simple LAA resection, thoracoscopic surgery, and catheter treatment. Each procedure has its advantages and disadvantages, and many prospective studies have been conducted to evaluate various treatment methods. In managing the LAA, dissection of the LAA, such as changes in its shape and size due to remodeling during AF, changes in autonomic nerve function, and thrombosis, must be understood anatomically and physiologically. We believe that early treatment intervention for the LAA should be considered particularly in cases of recurrent AF.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 1","pages":"1-17"},"PeriodicalIF":1.3,"publicationDate":"2022-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/d8/atcs-28-001.PMC8915931.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39263605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Oxidized Regenerated Cellulose Sheets in Postoperative Intrathoracic Adhesions. 氧化再生纤维素片在术后胸内粘连中的应用。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2021-08-25 DOI: 10.5761/atcs.nm.21-00069

Daisuke Hokka, Yugo Tanaka, Nahoko Shimizu, Takefumi Doi, Yoshimasa Maniwa

引用次数: 3

Ethyl Pyruvate Alleviates Pulmonary Hypertension through the Suppression of Pulmonary Artery Smooth Muscle Cell Proliferation via the High Mobility Group Protein B1/Receptor for Advanced Glycation End-Products Axis. 丙酮酸乙酯通过高迁移率组蛋白B1/晚期糖基化终产物轴受体抑制肺动脉平滑肌细胞增殖，减轻肺动脉高压。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-12-20 Epub Date: 2021-05-19 DOI: 10.5761/atcs.oa.21-00027

Chuanzhen Liu, Hourong Sun, Mengmeng Tang, Jianhua Li, Xiquan Zhang, Guangqing Cao

{"title":"Ethyl Pyruvate Alleviates Pulmonary Hypertension through the Suppression of Pulmonary Artery Smooth Muscle Cell Proliferation via the High Mobility Group Protein B1/Receptor for Advanced Glycation End-Products Axis.","authors":"Chuanzhen Liu, Hourong Sun, Mengmeng Tang, Jianhua Li, Xiquan Zhang, Guangqing Cao","doi":"10.5761/atcs.oa.21-00027","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00027","url":null,"abstract":"Purpose: Pulmonary arterial hypertension (PAH) is a formidable disease with no effective treatment at present. With the goal of developing potential therapies, we attempted to determine whether ethyl pyruvate (EP) could alleviate PAH and its mechanism.Methods: Pulmonary smooth muscle cells were cultured in conventional low-oxygen environments, and cellular proliferation was monitored after treatment with either EP or phosphate-balanced solution (PBS). Expression of high mobility group protein B1 (HMGB1) and receptor for advanced glycation end-products (RAGE) protein were detected by western blot. After hyperkinetic PAH rat models were treated with EP, hemodynamic data were collected. Right ventricular hypertrophy and pulmonary vascular remodeling were evaluated. Expression of HMGB1 and RAGE protein was also detected.Results: In vitro, proliferative activity increased in low-oxygen environments, but was inhibited by EP treatment. Furthermore, Western blotting showed the decreased expression of HMGB1 and RAGE protein after EP treatment. In vivo, pulmonary artery pressures were attenuated with EP. Right ventricular hypertrophy and pulmonary vascular remodeling were also reversed. Additionally, the expression levels of HMGB1 and RAGE were reduced in lung tissues.Conclusions: EP can alleviate PAH by suppressing the proliferation of pulmonary artery smooth muscle cells via inhibition of HMGB1/RAGE expression.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 6","pages":"380-388"},"PeriodicalIF":1.3,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/f7/atcs-27-380.PMC8684839.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39000473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Assessment of Intraoperative Microbiological Culture in Patients with Empyema: Comparison with Preoperative Microbiological Culture. 脓胸患者术中微生物培养的评估:与术前微生物培养的比较。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2021-12-20 Epub Date: 2021-05-08 DOI: 10.5761/atcs.oa.20-00327

Takaki Akamine, Hirokazu Kitahara, Asato Hashinokuchi, Mototsugu Shimokawa, Naoko Miura, Takuro Kometani, Yasunori Shikada, Takashi Sonoda

{"title":"Assessment of Intraoperative Microbiological Culture in Patients with Empyema: Comparison with Preoperative Microbiological Culture.","authors":"Takaki Akamine, Hirokazu Kitahara, Asato Hashinokuchi, Mototsugu Shimokawa, Naoko Miura, Takuro Kometani, Yasunori Shikada, Takashi Sonoda","doi":"10.5761/atcs.oa.20-00327","DOIUrl":"https://doi.org/10.5761/atcs.oa.20-00327","url":null,"abstract":"Purpose: Assessing microbiological culture results is essential in the diagnosis of empyema and appropriate antibiotic selection; however, the guidelines for the management of empyema do not mention assessing microbiological culture intraoperatively. Therefore, we tested the hypothesis that intraoperative microbiological culture may improve the management of empyema.Methods: We performed a retrospective analysis of 47 patients who underwent surgery for stage II/III empyema from January 2011 to May 2019. We compared the positivity of microbiological culture assessed preoperatively at empyema diagnosis versus intraoperatively. We further investigated the clinical characteristics and postoperative outcomes of patients whose intraoperative microbiological culture results were positive.Results: The positive rates of preoperative and intraoperative microbiological cultures were 27.7% (13/47) and 36.2% (17/47), respectively. Among 34 patients who were culture-negative preoperatively, eight patients (23.5%) were culture-positive intraoperatively. Intraoperative positive culture was significantly associated with a shorter duration of preoperative antibiotic treatment (p = 0.002). There was no significant difference between intraoperative culture-positive and -negative results regarding postoperative complications.Conclusions: Intraoperative microbiological culture may help detect bacteria in patients whose microbiological culture results were negative at empyema diagnosis. Assessing microbiological culture should be recommended intraoperatively as well as preoperatively, for the appropriate management of empyema.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"27 6","pages":"346-354"},"PeriodicalIF":1.3,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/bb/atcs-27-346.PMC8684835.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38894935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1