Thorac Cardiovasc Surg 2005; 53(5): 318-320
DOI: 10.1055/s-2005-865604
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© Georg Thieme Verlag KG Stuttgart · New York

VATS Decortication in Patients with Stage 3 Empyema

G. Olgac1 , M. Fazlioglu1 , C. A. Kutlu1
  • 1Yedikule Hospital for Chest Diseases and Chest Surgery, Istanbul, Turkey
Further Information

Publication History

Received July 20, 2004

Publication Date:
06 October 2005 (online)

Abstract

We present here a technique for VATS decortication in patients with stage 3 empyema. It was undertaken with satisfactory outcomes in a limited number of patients. In our technique, the fibrous peel at the surface of the lung is completely removed via two or three incisions without parietal decortication. We believe that our technique will be improved with increased experience and may be an alternative to open thoracotomy and decortication in a selected group of stage 3 empyema patients.

References

  • 1 Waller D A, Rengarajan A. Thoracoscopic decortication: A role for video-assisted surgery in chronic postpneumonic pleural empyema.  Ann Thorac Surg. 2001;  71 1813-1816
  • 2 Landrenau R J, Keenan R J, Hazelrigg S R, Mack M J, Naunheim K S. Thoracoscopy for empyema and hemothorax.  Chest. 1996;  109 18-23
  • 3 Lackner R P, Hughes R, Anderson L A, Sammut P H, Thompson A B. Video-assisted evacuation of empyema is the preferred procedure for management of pleural space infections.  Am J Surg. 2000;  179 27-30
  • 4 Deslauriers J, Paris F, Tarrazona V. Fibrothorax and decortication. Pearson FG, Cooper JD, Deslauriers J, Ginsberg RJ, Hiebert CA, Patterson GA, Urschel HC Thoracic Surgery. Philadelphia; Churchill Livingstone 2002: 1265-1280
  • 5 Peters R M, Wellons Jr H A, Htwe T M. Total compliance and work of breathing after thoracotomy.  J Thorac Cardiovasc Surg. 1969;  57 348-355

M.D., Ass. Prof., FETCS Cemal Asim Kutlu

MEDKON, Hakkı Yeten Cad.

Dogu Is Merkezi, No.17/12

Sisli 80200, Istanbul

Turkey

Phone: + 902122961680

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Email: cakutlu@tnn.net

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