加强肺切除术后脓胸的治疗方法：探讨电视辅助胸腔镜手术的作用。
Enhancing treatment approaches for postpneumonectomy empyema: exploring the role of video-assisted thoracic surgery.
作者信息
Grapatsas Konstantinos, Xhambazi Arben, Jamshidof Mohammad, Dimopoulos Emmanouil, Ehle Benjamin, Papatriantafyllou Athanasios, Mulita Francesk, Tchabashvili Levan, Liolis Elias, Tasios Konstantinos, Antzoulas Andreas, Litsas Dimitrios, Skevis Konstantinos, Drakos Nikolas, Koletsis Efstratios, Dahm Manfred, Leivaditis Vasileios
机构信息
Department of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, West German Lung Center, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Department of General and Visceral Surgery, Marienhospital Stuttgart, Stuttgart, Germany.
出版信息
Kardiochir Torakochirurgia Pol. 2024 Sep;21(3):167-171. doi: 10.5114/kitp.2024.143457. Epub 2024 Sep 24.
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.
引言
肺切除术后脓胸（PPE）即使在没有支气管胸膜瘘的情况下也会带来重大的术后风险，通常需要手术干预来解决。
目的
通过对相关文献的全面综述，评估电视辅助胸腔镜手术（VATS）治疗PPE的疗效。
材料与方法
本分析纳入了6项研究，包括63例接受VATS治疗的PPE病例。患者年龄在16至74岁之间，主要的细菌菌株为葡萄球菌属和链球菌属。
结果
住院时间延长至94天，4例患者因感染管理需要进行胸廓造口术。术后，1例患者死于并发症。VATS有望成为治疗PPE的一种可行的治疗方式。
结论
在出现支气管胸膜瘘或持续性脓胸的情况下，应考虑进行开放性修复手术。
Zotero 插件