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
摘要
导言：目的：通过对相关文献的全面回顾，评估视频辅助胸腔镜手术（VATS）治疗 PPE 的疗效：本次分析共纳入六项研究，包括 63 例采用 VATS 治疗的 PPE 病例。患者年龄从 16 岁到 74 岁不等，主要细菌菌株为葡萄球菌属和链球菌属：住院时间长达 94 天，其中 4 名患者需要进行胸腔造口术以控制感染。术后，1 名患者死于并发症。VATS 是一种可行的治疗方法，可用于最终的 PPE 治疗：结论：在出现支气管胸膜瘘或持续性肺水肿的情况下，应考虑进行开放性翻修手术。
Enhancing treatment approaches for postpneumonectomy empyema: exploring the role of video-assisted thoracic surgery.
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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