Publication: Video-Thoracoscopic Management of Empyema Thoracis in tertiary level thoracic unit
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Shrestha, UK | |
| dc.contributor.author | Thapa, B | |
| dc.contributor.author | Baral, R | |
| dc.contributor.author | Sapkota, R | |
| dc.contributor.author | Sayami, P | |
| dc.date.accessioned | 2026-05-15T04:46:51Z | |
| dc.date.available | 2026-05-15T04:46:51Z | |
| dc.date.issued | 2013 | |
| dc.description | UK Shrestha Manmohan Cardio-thoracic Vascular and Transplant Center, Institute of Medicine, Tribhuvan University B Thapa Manmohan Cardio-thoracic Vascular and Transplant Center, Institute of Medicine, Tribhuvan University R Baral Manmohan Cardio-thoracic Vascular and Transplant Center, Institute of Medicine, Tribhuvan University R Sapkota Manmohan Cardio-thoracic Vascular and Transplant Center, Institute of Medicine, Tribhuvan University P Sayami Manmohan Cardio-thoracic Vascular and Transplant Center, Institute of Medicine, Tribhuvan University | |
| dc.description.abstract | Abstract Introduction: Thoracic empyema is a common problem. Use of minimal access surgery for the treatment is comparatively new. We audited our results with VATS in thoracic empyema. Methods: We analyzed the retrospective data from the patients who received Video-Assisted Thoracoscopic Surgery (VATS) for empyema thoracis from April 2011 to April 2013 at Manmohan Cardio-thoracic Vascular and Transplant Center (MCVTC). Results: Of the 44 patients who underwent surgery for empyema of various stages, 37 patients underwent the procedure via VATS. The average age was 26.4 ±17.19 yrs (1-64). The male to female ratio was 2:1. The duration of symptoms before VATS intervention varied very widely (7-712 days avg: 92.7±28.8 days). The duration was 32 days on an average among patients in whom deloculation sufficed but was 111 days among those in whom decortication was required. A complete VATS procedure with satisfactory lung expansion at the end of the procedure was possible in 34 patients (100% patients who underwent deloculation and 88% of those who underwent decortications). Inadequate lung expansion forced conversion in three and subsequent collapse necessitated re-operation in one. The operative times were: VATS converted to open decortication (150 mins), completed VATS decortication (60-180 mins, avg: 125.7 mins) and VATS deloculation (45-120 mins, avg: 69 mins). Post-operative chest tube drainage was shorter in patients in whom a successful VATS procedure was completed 4.0 Vs 40 days). Conclusion: Videothoracoscopic approach is feasible in surgical management of empyema thoracis. The results seem to be better in earlier stages. Keywords: Deloculation, decortication, empyema, Video-assisted thoracoscopic Surgery (VATS) | |
| dc.identifier | https://doi.org/10.59779/jiomnepal.615 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/6088 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Deloculation | |
| dc.subject | decortication | |
| dc.subject | empyema | |
| dc.subject | Video-assisted thoracoscopic Surgery (VATS) | |
| dc.title | Video-Thoracoscopic Management of Empyema Thoracis in tertiary level thoracic unit | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 13 | |
| oaire.citation.startPage | 11 | |
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