Is there any role for medical thoracoscopy in the treatment of empyema in children?

Autor: Zuccatosta L; Pulmonology and Bronchology Unit, Marche Polytechnic University Hospital, Ancona, Italy., Piciucchi S; Radiology Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy., Martinello S; Pulmonology Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy., Sultani F; Pulmonology Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy., Oldani S; Pulmonology Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy., de Grauw AJ; Pulmonology Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy., Maitan S; Intensive Care Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy., Corso MR; Intensive Care Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy., Poletti V; Pulmonology Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy.; Dipartimento di Scienze Mediche e Chirurgiche (DIMES), Alma Mater Studiorum University of Bologna, Bologna, Italy., Ravaglia C; Pulmonology Unit, G.B. Morgagni Hospital/University of Bologna, Forlì, Italy.
Jazyk: angličtina
Zdroj: The clinical respiratory journal [Clin Respir J] 2023 Feb; Vol. 17 (2), pp. 105-108. Date of Electronic Publication: 2023 Jan 03.
DOI: 10.1111/crj.13578
Abstrakt: It is still controversial whether surgical or nonsurgical treatment approaches are most appropriate for empyema in children, and there are no data regarding the role of medical thoracoscopy in this population. The aim of this study was to describe our experience with medical thoracosocpy in children with multiloculated and organizing pneumonia. We retrospectively reviewed children admitted to our hospital with a diagnosis of empyema from 2011 to 2021 and treated with medical thoracoscopy. A total of six patients with empyema were treated by medical thoracoscopy; empyema was multiloculated in five cases and organized in one case; all children in the study recovered completely with full lung expansion after chest X-rays, and no disease sequelae were reported after clinical follow-up. Our small case series suggests that in selected cases, medical thoracoscopy could safely and effectively treat pleural empyema in children, with less invasiveness and reduced psychological consequences.
(© 2023 The Authors. The Clinical Respiratory Journal published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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