caa a22 4500 475781414 CHVBK 20180406123645.0 cr unu---uuuuu 170329e20000201xx s 000 0 eng 10.1007/s004649900094 doi (NATIONALLICENCE)springer-10.1007/s004649900094 Video-assisted thoracoscopic surgery in the management of loculated empyema [Elektronische Daten] [M. Cunniffe, D. Maguire, O. McAnena, S. Johnston, J. Gilmartin] Background: Fibropurulent empyema (stage II of Light) does not respond to antibiotic therapy and simple drainage. If the condition is inadequately treated, restrictive pulmonary deficit develops, necessitating thoracotomy and decortication. We report our experience with the videoscopic management of stage II and limited stage III disease. Methods: Ten consecutive patients underwent videoscopic debridement of fibropurulent empyema; three of them required removal of limited visceral and parietal rind. Results: The mean operating time was 42 ± 8.1 min. Postoperative pyrexia and leucocytosis settled within 4.2 ± 2.1 days and 13.1 ± 3.2 days, respectively. Intercostal chest tubes were removed by 4.5 ± 1.0 days. The mean fall in hematocrit following surgery was 4.9%. Parenteral analgesics were required for 1.0 ± 0.5 days and oral analgesics for 3 ± 1.6 days. The mean postoperative stay was 11 ± 8.1 days. No patient required any further intervention. Conclusions: Videoscopic debridement of empyema produces excellent results, with minimal patient morbidity and a short hospital stay. We recommend it as the preferred method for first-line management of fibropurulent (stage II) empyema. Springer-Verlag New York Inc., 2000 Key words: Empyema — Videoscopy — Debridement — Fibropurulent empyema — Lung — VATS nationallicence Cunniffe M. Department of Surgery, University College Hospital, Galway, Ireland, Ireland aut Maguire D. Department of Surgery, University College Hospital, Galway, Ireland, Ireland aut McAnena O. Department of Surgery, University College Hospital, Galway, Ireland, Ireland aut Johnston S. Department of Surgery, University College Hospital, Galway, Ireland, Ireland aut Gilmartin J. Department of Medicine, University College Hospital, Galway, Ireland, Ireland aut Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 175-178 0930-2794 14:2<175 2000 14 464 https://doi.org/10.1007/s004649900094 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900094 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cunniffe M. Department of Surgery, University College Hospital, Galway, Ireland, Ireland aut NATIONALLICENCE 700 1- Maguire D. Department of Surgery, University College Hospital, Galway, Ireland, Ireland aut NATIONALLICENCE 700 1- McAnena O. Department of Surgery, University College Hospital, Galway, Ireland, Ireland aut NATIONALLICENCE 700 1- Johnston S. Department of Surgery, University College Hospital, Galway, Ireland, Ireland aut NATIONALLICENCE 700 1- Gilmartin J. Department of Medicine, University College Hospital, Galway, Ireland, Ireland aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 175-178 0930-2794 14:2<175 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer