电视辅助胸腔镜手术治疗脓胸的胸膜纤维板剥脱术：162例回顾性经验与分析

VATS thoracoscopic decortication for empyema thoracic: A retrospective experience and analysis of 162 cases.

作者信息

Majeed Farhan Ahmad, Chatha Sohail Saqib, Zafar Usama, Ali Ahmad, Farhan Nabeela, Raza Ahmad

机构信息

Combined Millitary Hospital, Multan, Pakistan.

Pakistan Air Force Hospital, Lahore, Pakistan.

出版信息

J Pak Med Assoc. 2021 Feb;71(2(A)):502-504. doi: 10.47391/JPMA.431.

DOI:10.47391/JPMA.431

PMID:33819237

Abstract

OBJECTIVE

To analyse the experience of empyema thoracis management using video-assisted thoracoscopic surgery.

METHODS

The retrospective study was conducted at the Combined Military Hospitals, Rawalpindi and Lahore, Pakistan, and comprised data of empyema thoracis cases who underwent thoracoscopic decortications by the same consultant surgeon between January 2009 and 2018. Uniportal or multiportal video-assisted thoracoscopic decortications was performed. Histopathology and microbiological sampling were done in all cases.

RESULTS

Of the 162 cases, 114(70.4%) were males and 48(29.6%) were females. The overall mean age was 44±16.37 years. Three ports were utilised in 58(36%) patients. Hospital stay of 122(75.3%) patients was <5 days post-procedure. Post-thoracotomy neuralgia occurred in 19(11.7%) patients, while 9(5.5%) had surgical site infection. Overall complications were 30(18.5%). There was no mortality.

CONCLUSIONS

Video-assisted thoracoscopic decortications was found to be a safe, effective and efficient procedure.

摘要

目的

分析采用电视辅助胸腔镜手术治疗脓胸的经验。

方法

这项回顾性研究在巴基斯坦拉瓦尔品第和拉合尔的联合军事医院开展，纳入了2009年1月至2018年期间由同一位会诊外科医生进行胸腔镜纤维板剥脱术的脓胸病例数据。采用单孔或多孔电视辅助胸腔镜纤维板剥脱术。所有病例均进行了组织病理学和微生物学采样。

结果

162例病例中，男性114例（70.4%），女性48例（29.6%）。总体平均年龄为44±16.37岁。58例（36%）患者使用了三个切口。122例（75.3%）患者术后住院时间<5天。19例（11.7%）患者发生开胸术后神经痛，9例（5.5%）发生手术部位感染。总体并发症为30例（18.5%）。无死亡病例。