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Single Trocar Thoracoscopic Surgery for Pleural Empyema in Children. | LitMetric

Single Trocar Thoracoscopic Surgery for Pleural Empyema in Children.

J Laparoendosc Adv Surg Tech A

Urological Department and General Surgical Department, National Children's Hospital, Hanoi, Vietnam.

Published: July 2023

AI Article Synopsis

Article Abstract

To present outcomes of single trocar thoracoscopic surgery in the treatment of pleural empyema (PE) in children. The thoracoscopic surgery was performed using a single trocar inserted through the fifth intercostal space. A conventional rigid scope with a working channel was used. Pleural fluid was aspirated, followed by debridement and ablation of all septa using one instrument through the working channel. Sixty patients from 1 month to 14 years of age underwent surgery without any intraoperative complications or death. The mean operative time was 67 ± 21 minutes. There was no conversion to open thoracotomy. Postoperative complications occurred in 4 patients. Reoperation was required in 1 patient. Mean duration of postoperative hospitalization was 15 ± 9 days. Follow-up was obtained in 57 patients and resulted in normal clinical and chest X-ray findings in all patients. Single trocar thoracoscopic operation is safe, feasible, and effective in the treatment of PE in children. A future study with control group is required to draw accurate conclusions.

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Source
http://dx.doi.org/10.1089/lap.2019.0637DOI Listing

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