Feasibility of single hole thoracoscopy of pleural fibreboard end-arterectomy in treatment of chronic tuberculous empyema
10.3969/j.issn.1007-1989.2017.04.017
- VernacularTitle:单操作孔胸腔镜下胸膜纤维板剥脱术治疗慢性结核性脓胸的可行性分析
- Author:
Wenbin HU
;
Shunda YUAN
;
Jinlong ZHU
;
Wengang QIU
;
Youlin YU
;
Kang ZHANG
;
Kairan LUO
;
Keju XIE
;
Zhuoliang ZHANG
;
Junhui CAI
;
Chunyu WANG
;
Xuefang CHEN
- Keywords:
stripped pleural fibreboard;
chronic tuberculous empyema;
single hole thoracoscopy;
thoracoscope
- From:
China Journal of Endoscopy
2017;23(4):91-94
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the feasibility of single hole thoracoscopy of pleural fibreboard endarterectomy surgical treatment on chronic tuberculous empyema. Methods Retrospective analysis of minimally invasive treatment of 52 cases of chronic tuberculous empyema form January 2013 to May 2016, 50 cases applied single hole thoracoscopy surgery, video-assisted mini-thoracoscopy for another 2 cases. Results There was no death, operation time 60 ~ 240 min, average 160 min, bleeding 150 ~ 2000 ml, average 350 ml, postoperative chest tube drainage time 3 ~ 21 d, average 7 d, postoperative persistent leakage in 3 patients, 3 cases of atelectasis, incisional infection in 1 case, pleural effusion in 1 case, 3 cases of arrhythmia. All the cured patients are received the corresponding treatment, the follow-up of 3 ~ 36 m, the chest CT scan show no atelectasis. Conclusion Under the condition of strict selection of indication, single hole thoracoscopy of pleural fibreboard endarterectomy in treatment of chronic tuberculous empyema is safe and feasible, so it is worthy of making further clinical promotion and application.
