The Role of Early Video-assisted Thoracoscopic Surgery in Patients With Empyema Thoracis
Year: 2024
Type: article
Study design: Observational Study
Abstract: Empyema thoracis management is a challenge and an inappropriate diagnostic-therapeutic work up can lead to serious short and long-term complications. VATS resulted to be safe and effective for the treatment of Empyema thoracis, and an early minimally invasive thoracoscopic intervention (early VATS) correlates with better outcomes. It emerged that the elapsed period between the onset of symptoms and surgery correlates in a statistically signicant way with the post-operative stay in intensive care and the analysis between early VATS(Stage I & II), late VATS (Stage III) and postoperative hospitalization showed a statistically signicant reduction of the post-operative hospitalization in the early VATS group. Aim And Objectives: 1.To evaluate the role of VATS in management of early and late stage of Empyema thoracis. 2. To study the efcacy of VATS as a therapeutic tool in Empyema Thoracis. Methodology: A retrospective study was carried out in 40 Empyema thoracis patients admitted to surgery ward, to assess the role of the early video-assisted thoracoscopic surgery in them at a tertiary care hospital. Results: Total 40 patients were studied. Stage 1 and 2 were combined as early Empyema cases and stage 3 as late Empyema cases. Patients in late stage required more time to operate, longer duration of oxygen therapy and intercostal drainage, prolonged hospital stay as compared to early stage signicantly. Conclusion: Video-assisted thoracoscopic surgery in patients with early stage of empyema thoracis reduces post op complications, post op hospital stay, operative time, oxygen therapy and ICD duration.
Authors: Shweta Vilas Padole, Ajay Naik
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4402411090