Early Aggressive Surgical Treatment of Multiloculated Empyema
| Autor: | Young Uk Lee, Seok Soo Lee, Jang Hoon Lee, Jung Cheul Lee, Myeong Su Kim, Jong Hyun Baek |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
Pleural disease medicine.medical_specialty Percutaneous lcsh:Surgery Lung abscess 03 medical and health sciences 0302 clinical medicine Clinical Research Diabetes mellitus medicine 030212 general & internal medicine Surgical treatment Empyema Lung business.industry Incidence (epidemiology) lcsh:RD1-811 respiratory system medicine.disease bacterial infections and mycoses Surgery respiratory tract diseases medicine.anatomical_structure 030228 respiratory system Cardiology and Cardiovascular Medicine business Infection |
| Zdroj: | Korean Journal of Thoracic and Cardiovascular Surgery, Vol 50, Iss 3, Pp 202-206 (2017) The Korean Journal of Thoracic and Cardiovascular Surgery |
| ISSN: | 2093-6516 |
| DOI: | 10.5090/kjtcs.2017.50.3.202 |
| Popis: | Background: Empyema is the collection of purulent exudate within the pleural space. Overall, 36%–65% of patients with empyema cannot be treated by medical therapy alone and require surgery. Multiloculated empyema is particularly difficult to treat with percutaneous drainage. Therefore, we describe our experiences with early aggressive surgical treatment for rapid progressive multiloculated empyema. Methods: From January 2001 to October 2015, we retrospectively reviewed 149 patients diagnosed with empyema who received surgery. The patients were divided into 2 groups according to whether they underwent emergency surgery or not. We then compared surgical outcomes between these groups. Results: The patients in group A (emergency surgery, n=102) showed a more severe infectious state, but a lower complication rate and shorter length of hospital stay. The incidence of lung abscess was higher in group A, and abscesses were associated with diabetes and severe alcoholism. Conclusion: Early aggressive surgical treatment resulted in good surgical outcomes for patients with rapid progressive multiloculated empyema. Furthermore, we suspect that the most likely causes of multiloculated empyema are lung abscesses found in patients with diabetes mellitus as well as severe alcoholism. |
| Databáze: | OpenAIRE |
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