Single Trocar Thoracoscopic Surgery for Pleural Empyema in Children.

Autor:	Do Manh H; Urological Department and General Surgical Department, National Children's Hospital, Hanoi, Vietnam., Nguyen Thanh Q; Urological Department and General Surgical Department, National Children's Hospital, Hanoi, Vietnam., Nguyen Thanh L; Pediatric Surgical Department, Vinmec International Hospital, Hanoi, Vietnam., Nguyen Van L; Urological Department and General Surgical Department, National Children's Hospital, Hanoi, Vietnam.
Jazyk:	angličtina
Zdroj:	Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2023 Jul; Vol. 33 (7), pp. 707-712. Date of Electronic Publication: 2020 Apr 23.
DOI:	10.1089/lap.2019.0637
Abstrakt:	Aim: To present outcomes of single trocar thoracoscopic surgery in the treatment of pleural empyema (PE) in children. Patients and Methods: The thoracoscopic surgery was performed using a single trocar inserted through the fifth intercostal space. A conventional rigid scope with a working channel was used. Pleural fluid was aspirated, followed by debridement and ablation of all septa using one instrument through the working channel. Results: Sixty patients from 1 month to 14 years of age underwent surgery without any intraoperative complications or death. The mean operative time was 67 ± 21 minutes. There was no conversion to open thoracotomy. Postoperative complications occurred in 4 patients. Reoperation was required in 1 patient. Mean duration of postoperative hospitalization was 15 ± 9 days. Follow-up was obtained in 57 patients and resulted in normal clinical and chest X-ray findings in all patients. Conclusion: Single trocar thoracoscopic operation is safe, feasible, and effective in the treatment of PE in children. A future study with control group is required to draw accurate conclusions.
Databáze:	MEDLINE
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