scholarly journals EVALUATION OF LUNG EXPANSION AFTER SINGLE‐TROCAR VIDEO‐ASSISTED FLEXIBLE THORACOSCOPIC DEBRIDEMENT UNDER LOCAL ANESTHESIA FOR MULTILOCULATED PARAPNEUMONIC EMPYEMA

Respirology ◽  
2019 ◽  
Vol 24 (S2) ◽  
pp. 126-126
Keyword(s):  
Local Anesthesia ◽  
Video Assisted ◽  
Lung Expansion ◽  
Parapneumonic Empyema

The role of video-assisted thoracoscopic surgery in the treatment of parapneumonic empyema after the failure of fibrinolytics

2001 ◽  
Vol 16 (1) ◽  
pp. 151-154 ◽  
Author(s):  
D. Bouros ◽  
K.M. Antoniou ◽  
G. Chalkiadakis ◽  
J. Drositis ◽  
I. Petrakis ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Parapneumonic Empyema ◽  
Video Assisted Thoracoscopic Surgery

The Utility and Timing of Surgical Intervention for Parapneumonic Empyema in the Era of Video-Assisted Thoracoscopy

2005 ◽  
Vol 71 (6) ◽  
pp. 512-514 ◽  
Author(s):  
William W. Hope ◽  
William D. Bolton ◽  
James E. Stephenson
Keyword(s):  
Length Of Stay ◽  
Treatment Algorithm ◽  
Ct Scanning ◽  
Morbidity And Mortality ◽  
Tube Placement ◽  
Open Thoracotomy ◽  
Video Assisted ◽  
Preoperative Ct ◽  
Postoperative Length ◽  
Parapneumonic Empyema

Empyema, a pyogenic or suppurative infection of the pleural space, continues to cause significant morbidity and mortality in patients with pneumonia. The advent of video-assisted thoracoscopy has placed the treatment algorithm of empyema in flux. We retrospectively reviewed all patients who underwent surgical treatment for parapneumonic empyema from January 1, 1999, through December 31, 2003. Data collected included demographic information, preoperative CT scanning/thoracostomy tube placement, morbidity/mortality, days from admission to surgery, and postoperative length of stay. We compared patients undergoing video-assisted thoracoscopy to those requiring conversion to open thoracotomy and those who had initial open thoracotomy. Morbidity and mortality rates were similar among all groups. Conversion rate to open thoracotomy was 21 per cent. We found patients operated on within 11 days of admission had a shorter postoperative length of stay with similar morbidity and mortality. Our data supports early aggressive surgery treatment for parapneumonic empyema.

Left uniportal VATS for lung decortication after chemical pleurodesis under spontaneous breathing in patient with lymphangiomyomatosis

2021 ◽  
Keyword(s):  
Spontaneous Breathing ◽  
Thoracoscopic Surgery ◽  
Lung Ventilation ◽  
Lung Parenchyma ◽  
One Lung Ventilation ◽  
Chemical Pleurodesis ◽  
Video Assisted ◽  
Lung Expansion ◽  
Talc Poudrage ◽  
Video Assisted Thoracoscopic Surgery

Pneumothorax can be the first symptom of lymphangioleiomyomatosis. Patients with lymphangioleiomyomatosis have a higher risk of recurrence of pneumothorax. Chemical pleurodesis is a viable option to treat the recurrence, but in rare cases, it is not the solution. We present the case of a patient with lymphangioleiomyomatosis undergoing a talc poudrage via video-assisted thoracoscopic surgery for pneumothorax that failed to reexpand the lung. We proposed to the patient a surgical approach to debride the lung parenchyma with the patient under deep sedation with spontaneous breathing. The patient was discharged on the 5th postoperative day. The chest computed tomography scan showed complete lung reexpansion. We advocate that video-assisted thoracoscopic surgery in patients who are awake is a feasible surgical option that permits the restoration of physiological lung expansion in selected patients who underwent chemical pleurodesis and minimizes the risk of one-lung ventilation.

Video-Assisted Talc Pleurodesis for Malignant Pleural Effusions Utilizing Local Anesthesia and IV Sedation

CHEST Journal ◽  
1998 ◽  
Vol 113 (3) ◽  
pp. 739-742 ◽  
Author(s):  
Christopher A. Danby ◽  
Samuel A. Adebonojo ◽  
Dennis M. Moritz
Keyword(s):  
Local Anesthesia ◽  
Pleural Effusions ◽  
Talc Pleurodesis ◽  
Malignant Pleural Effusions ◽  
Video Assisted
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