| Autor: |
Hervé Le Floch, Inès Ngampolo, Frédéric Rivière, Wanda Gaspard, France Charton, Alla Avramenko, Sonia Aguir, Bertrand Grand, Guillaume Boddaert, Marc-Antoine Sanchez, Jacques Margery |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
8.1 Thoracic Surgery. |
| DOI: |
10.1183/13993003.congress-2015.pa1504 |
| Popis: |
Introduction: the ideal timing of video-assisted thoracic surgery (VATS) in complicated parapneumonic effusion (CPPE) is still controversial because of the lack of predictive factor of failure of the medical treatment alone. The aim of this study is to describe our experience of early VATS in order to highlight its feasibility. Methods: we retrospectively studied all the VT realized for CPPE in the Military Hospital Percy (Clamart- France) between June 2002 and December 2013. Results: seventy-five patients with IPP were treated by VATS during the period. For 9 of them (12%), the operation had begun through VATS and was changed to a thoracotomy. The mean duration between admission and surgery was 4.02 days. Mean postoperative chest drainage duration was 4,8 days and mean hospitalisation duration was 8,25 days. The bacteriological cultures were positive for 21,5% of the initial thoracocentesis samples and for 22,6% of per-VATS samples. The primary success (defined as the recovery at day 30 with no more specific medical or surgical treatment) rate was 91,3%. The complication rate was 17.33% (major in 4 cases). Mortality rate at day 30 was 7.89%. Conclusion: early VATS in CPPE seems to be feasible and efficient in the treatment of CPPE with an acceptable profile of tolerance, if the patient remains fit for a general anesthesia. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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