Coman C, Stan A, Micu V, Scurei A, Coman B C
Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1981 Apr-Jun;30(2):99-106.
An analysis is presented, of the experience acquired in the Clinic for Thoracic Surgery from Bucharest in the surgical treatment of thoracal empyema by the Andrews type thoracopleuroplastia. The advantages of the surgical technique are stressed, after the modifications introduced by the authors, in contrast with other surgical techniques used, such as successive-type thoracoplastia, topographical thoracoplastia, plastron removal, etc. Careful preoperative preparation is recommended, and surgical indications are indicated and the major technical and tactical principles of the intervention are described. The Clinic's experience is based on 281 interventions. Of these 206 cases were of bacillary origin and 75 were non-bacillary. The etiologic forms of these empyemas are also analyzed. In such interventions the mortality was under 1%. Recidives were noted in approximately 1% of the cases and postoperative complications were solved without raising particular difficulties. These results recommend the thoracoplastia type intervention as the choice technique in a large number of thoracic empyemas.
本文对布加勒斯特胸外科诊所采用安德鲁斯型胸廓成形术治疗胸腔积脓的经验进行了分析。与其他所使用的外科技术，如连续型胸廓成形术、局部胸廓成形术、胸壁切除等相比，作者介绍了改良后的手术技术优势。建议进行仔细的术前准备，指明手术适应症，并描述干预的主要技术和策略原则。该诊所的经验基于281例干预病例。其中206例为细菌性病因，75例为非细菌性病因。还分析了这些脓胸的病因类型。在这类干预中，死亡率低于1%。约1%的病例出现复发，术后并发症得到解决，未遇到特别困难。这些结果表明胸廓成形术式干预是治疗大量胸腔积脓的首选技术。
