OBJECTIVE: To evaluate the value of video-assisted thoracospic surgery (VATS) for the treatment of pediatric empyema thoracis. METHODS: Forty three children with empyema thoracis between January, 1992 and February, 2001, over a period of 9 years, were treated by conventional therapy (thoracentesis, chest tube drainage or thoracotomy debridement; Group A, n=28) and VATS (Group B, n=15). Postoperative parameters of the two groups were reviewed retrospectively. RESULTS: The duration of fever, antibiotical therapy, chest tube drainage and hospitalization in Group B was shorter than those in Group A [( 2.8 d ± 1.7 ) d vs ( 5.7 ± 2.1 ) d, ( 7.6 ± 2.5 ) d vs ( 13.8 ± 4.7 ) d, ( 3.8 ± 1.6 ) d vs ( 5.8 ± 2.4 ) d, ( 10.4 ± 3.0 ) d vs ( 17.8 ± 5.6 ) d, respectively] (P< 0.01 ). There was no difference in the incidence of postoperative complications and in mortality between the two groups. CONCLUSIONS: VATS for empyema thoracis was efficacious and less traumatic, and the duration of treatment was short. However, the treatment should be intervened as early as possible."/>
Comparative Study of Conventional Therapy and Video Assisted Thoracoscopic Surgery for Empyema Thoracis in Children
Abstract OBJECTIVE: To evaluate the value of video-assisted thoracospic surgery (VATS) for the treatment of pediatric empyema thoracis. METHODS: Forty three children with empyema thoracis between January, 1992 and February, 2001, over a period of 9 years, were treated by conventional therapy (thoracentesis, chest tube drainage or thoracotomy debridement; Group A, n=28) and VATS (Group B, n=15). Postoperative parameters of the two groups were reviewed retrospectively. RESULTS: The duration of fever, antibiotical therapy, chest tube drainage and hospitalization in Group B was shorter than those in Group A [( 2.8 d ± 1.7 ) d vs ( 5.7 ± 2.1 ) d, ( 7.6 ± 2.5 ) d vs ( 13.8 ± 4.7 ) d, ( 3.8 ± 1.6 ) d vs ( 5.8 ± 2.4 ) d, ( 10.4 ± 3.0 ) d vs ( 17.8 ± 5.6 ) d, respectively] (P< 0.01 ). There was no difference in the incidence of postoperative complications and in mortality between the two groups. CONCLUSIONS: VATS for empyema thoracis was efficacious and less traumatic, and the duration of treatment was short. However, the treatment should be intervened as early as possible.
ZHANG Zheng,WANG Zheng,ZHANG Wei et al. Comparative Study of Conventional Therapy and Video Assisted Thoracoscopic Surgery for Empyema Thoracis in Children[J]. 中国当代儿科杂志, 2002, 4(3): 195-197.
ZHANG Zheng,WANG Zheng,ZHANG Wei et al. Comparative Study of Conventional Therapy and Video Assisted Thoracoscopic Surgery for Empyema Thoracis in Children[J]. CJCP, 2002, 4(3): 195-197.
