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Titolo:
TREATMENT OF EARLY PARAPNEUMONIC EMPYEMA BY MEDICAL THORACOSCOPY
Autore:
SOLER M; WYSER C; BOLLIGER CT; PERRUCHOUD AP;
Indirizzi:
UNIV BASEL HOSP,DEPT INTERNAL MED,DIV PULM CH-4031 BASEL SWITZERLAND
Titolo Testata:
Schweizerische medizinische Wochenschrift
fascicolo: 42, volume: 127, anno: 1997,
pagine: 1748 - 1753
SICI:
0036-7672(1997)127:42<1748:TOEPEB>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
PLEURAL EFFUSIONS; MANAGEMENT; STREPTOKINASE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
M. Soler et al., "TREATMENT OF EARLY PARAPNEUMONIC EMPYEMA BY MEDICAL THORACOSCOPY", Schweizerische medizinische Wochenschrift, 127(42), 1997, pp. 1748-1753

Abstract

We report on a consecutive series of 16 patients with complicated parapneumonic effusion or empyema, in whom, after a failed attempt at tube drainage, thoracoscopy under local anesthesia (''medical'' thoracoscopy) was performed for debridement and placement of a chest tube. Thisapproach led to immediate clinical improvement in all patients and todefinitive cure in 12 of 16. In 4 patients open surgical debridement was necessary after a few days in an elective procedure. In a subgroupof thoracoscopically treated patients lung function tests were performed at least 6 months after the procedure and did not demonstrate significant restrictive changes. We conclude that thoracoscopy under localanesthesia is a valuable addition to the treatment options in patients with multiloculated, complicated parapneumonic effusion or empyema not responsive to simple tube thoracotomy. The procedure is less taxingfor the patient and less expensive than video-assisted thoracoscopic surgery under general anesthesia or open decortication.

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Documento generato il 04/12/20 alle ore 16:37:16