Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures
Background. Empyema remains a challenging entity for thoracic surgeons. The aim of this study was to evaluate preoperative predictors for unsuccessful thoracoscopic empyemectomy and postoperative complications. Materials and methods. There were 71 patients prospectively included in the study during...
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2015-08-01
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doaj-b2b8b0d424d749cf9c54b0dbe47360c02021-02-03T09:24:33ZengVilnius University PressActa Medica Lituanica1392-01382029-41742015-08-0122210.6001/actamedica.v22i2.3125Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failuresŽymantas JagelavičiusVytautas JovaišasMindaugas MatačiūnasNarimantas Evaldas SamalavičiusRičardas JanilionisBackground. Empyema remains a challenging entity for thoracic surgeons. The aim of this study was to evaluate preoperative predictors for unsuccessful thoracoscopic empyemectomy and postoperative complications. Materials and methods. There were 71 patients prospectively included in the study during the period from January 2011 to June 2014 in whom we performed thoracoscopic empyemectomy. Two main outcomes were evaluated: conversion and complications. Preoperative factors that could predict these outcomes were analyzed. Results. Conversion to open thoracotomy was required in 25.4% of cases. Fourteen (19.7%) patients had postoperative complications. The multivariate analysis showed that the time of illness (odds ratio 1.1; confidence interval 1.1–1.2), normal temperature on admission (odds ratio 11.2; confidence interval 1.5–85.4) and frank pus found on thoracocentesis (odds ratio 6.9; confidence interval 1.6–29.4) had a significant influence on conversion from thoracoscopy to open thoracotomy. Pain (odds ratio 0.01; confidence interval https://www.journals.vu.lt/AML/article/view/21375pleural empyemavideo-assisted thoracic surgerytreatment failurecomplication |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Žymantas Jagelavičius Vytautas Jovaišas Mindaugas Matačiūnas Narimantas Evaldas Samalavičius Ričardas Janilionis |
spellingShingle |
Žymantas Jagelavičius Vytautas Jovaišas Mindaugas Matačiūnas Narimantas Evaldas Samalavičius Ričardas Janilionis Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures Acta Medica Lituanica pleural empyema video-assisted thoracic surgery treatment failure complication |
author_facet |
Žymantas Jagelavičius Vytautas Jovaišas Mindaugas Matačiūnas Narimantas Evaldas Samalavičius Ričardas Janilionis |
author_sort |
Žymantas Jagelavičius |
title |
Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures |
title_short |
Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures |
title_full |
Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures |
title_fullStr |
Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures |
title_full_unstemmed |
Video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures |
title_sort |
video-assisted thoracic surgery in pleural empyema: predictors of complications and treatment failures |
publisher |
Vilnius University Press |
series |
Acta Medica Lituanica |
issn |
1392-0138 2029-4174 |
publishDate |
2015-08-01 |
description |
Background. Empyema remains a challenging entity for thoracic surgeons. The aim of this study was to evaluate preoperative predictors for unsuccessful thoracoscopic empyemectomy and postoperative complications.
Materials and methods. There were 71 patients prospectively included in the study during the period from January 2011 to June 2014 in whom we performed thoracoscopic empyemectomy. Two main outcomes were evaluated: conversion and complications. Preoperative factors that could predict these outcomes were analyzed.
Results. Conversion to open thoracotomy was required in 25.4% of cases. Fourteen (19.7%) patients had postoperative complications. The multivariate analysis showed that the time of illness (odds ratio 1.1; confidence interval 1.1–1.2), normal temperature on admission (odds ratio 11.2; confidence interval 1.5–85.4) and frank pus found on thoracocentesis (odds ratio 6.9; confidence interval 1.6–29.4) had a significant influence on conversion from thoracoscopy to open thoracotomy. Pain (odds ratio 0.01; confidence interval |
topic |
pleural empyema video-assisted thoracic surgery treatment failure complication |
url |
https://www.journals.vu.lt/AML/article/view/21375 |
work_keys_str_mv |
AT zymantasjagelavicius videoassistedthoracicsurgeryinpleuralempyemapredictorsofcomplicationsandtreatmentfailures AT vytautasjovaisas videoassistedthoracicsurgeryinpleuralempyemapredictorsofcomplicationsandtreatmentfailures AT mindaugasmataciunas videoassistedthoracicsurgeryinpleuralempyemapredictorsofcomplicationsandtreatmentfailures AT narimantasevaldassamalavicius videoassistedthoracicsurgeryinpleuralempyemapredictorsofcomplicationsandtreatmentfailures AT ricardasjanilionis videoassistedthoracicsurgeryinpleuralempyemapredictorsofcomplicationsandtreatmentfailures |
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