Efficacy of uniportal video-assisted thoracoscopic surgery for initial treatment of early pleural empyema.

摘要: Background Pleural empyema is a serious disease. For the majority of patients with advanced empyema, surgery is the standard treatment. Video assisted thoracoscopic surgery (VATS) is a minimally invasive surgical procedure that allows visualization of the pleural cavity through small incisions. Uni-portal VATS (U-VATS) offers many advantages over traditional open thoracotomy and multi-portal VATS.Objective To evaluate the efficacy of U-VATS for the initial treatment of early pleural empyema.Patients & Methods This prospective study included adult patients with early stage empyema (stages I and II) who underwent initial drainage and debridement with U-VATS procedure at our institutions.Results The average age of the 15 patients was 37.73±15.23 years, and there were 1.5 times as many males as females. All of them received U-VATS for stage I and II empyema. Diabetes mellitus and chronic obstructive …