1887
Volume 2021, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Early, aggressive, and minimally invasive approach is an advanced surgical approach for chronic empyema management. The traditional video-assisted technique is considered superior over open thoracotomy for empyema management; however, with further modification, the uniportal video-assisted thoracoscopic surgery (UVATS) has greater advantage for surgeons, providing better anatomical view of target tissues, allowing bimanual instrumentation similar to open approach, and nullifying the creation of dihedral angle by instruments that are not favorable in traditional VATS. The present case series describes different clinical scenarios including chronic empyema secondary to traumatic hemothorax, recurrent tubercular empyema following postoperative open decortication, and methicillin-resistant staphylococcus aureus chronic empyema in pediatric patient, which are effectively managed with UVATS approach.

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/content/journals/10.5339/jemtac.2021.2
2021-06-10
2021-11-28
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References

  1. Tong BC, Hanna J, Toloza EM, Onaitis MW, D'Amico TA, Harpole DH, et al. Outcomes of video-assisted thoracoscopic decortication. Ann Thorac Surg. 2010; 89:(1):220–5.
    [Google Scholar]
  2. Ismail M, Nachira D, Meacci E, Ferretti GM, Swierzy M, Englisch JP, et al. Uniportal video-assisted thoracic surgery in the treatment of pleural empyema. J Thorac Dis. 2018; 10:(Suppl 31):S3696–703.
    [Google Scholar]
  3. Bongiolatti S, Voltolini L, Borgianni S, Borrelli R, Tancredi G, Viggiano D, et al. Uniportal thoracoscopic decortication for pleural empyema and the role of ultrasonographic preoperative staging. Interact Cardiovasc Thorac Surg. 2017; 24:(4):560–6.
    [Google Scholar]
  4. Molnar TF. Current surgical treatment of thoracic empyema in adults. Eur J Cardiothorac Surg. 2007; 32:(3):422–30.
    [Google Scholar]
  5. Aljehani Y, Alabkary S. Single incision VATS decortication for 3rd stage empyema. Clin Case Rep. 2018; 6:(11):2144–6.
    [Google Scholar]
  6. Hajjar WM, Ahmed I, Al-Nassar SA, Alsultan RK, Alwgait WA, Alkhalaf HH, et al. Video-assisted thoracoscopic decortication for the management of late stage pleural empyema, is it feasible? Ann Thorac Med. 2016; 11:(1):71–8.
    [Google Scholar]
  7. Elkhayat H, Sallam M, Kamal M, Abdalla EM. Thoracoscopic decortication for stage III empyema;a minimal invasive approach in a delayed presentation disease. J Egypt Soc Cardio-Thorac Surg. 2018; 26:(4):301–7.
    [Google Scholar]
  8. Zhou Y, Li X, Dai J, Lin L, Cao X, Liu X, et al. Uniportal thoracoscopic decortication for stage III tuberculous empyema with severe rib crowding. Ann Thorac Surg. 2020; S0003–4975:(20):31663–5.
    [Google Scholar]
  9. Li X, Wang J, Ferguson MK. Competence versus mastery: the time course for developing proficiency in video-assisted thoracoscopic lobectomy. J Thorac Cardiovasc Surg. 2014; 147:(4):1150–4.
    [Google Scholar]
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