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Rana Sayeed
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Asian Cardiovasc Thorac Ann 2007;15:238-239
© 2007 Asia Publishing EXchange Ltd


ORIGINAL CONTRIBUTIONS

Definitive Management of Advanced Empyema by Two-Window Video-Assisted Surgery

Andrew J Drain, MRCS, Jonathon I Ferguson, FRCS, Rana Sayeed, FRCS, Sharon Wilkinson, BSc1, Andy Ritchie, FRCS

Department of Surgery
1 Clinical Audit and Effectiveness Unit, Papworth Hospital, Cambridge, United Kingdom

For reprint information contact: Andrew J Drain, MRCS Tel: 44 1480 830 541 Fax: 44 1480 364 335 Email: andrewdrain{at}doctors.org.uk, Department of Surgery, Papworth Hospital, Papworth Everard, Cambridge, CB3 8RE, United Kingdom.

We describe how 2-window video-assisted thoracoscopic decortication and lung mobilization can provide definitive management of stage III empyema. This technique was used in 52 patients with stage III empyema. None required additional ports or a thoracotomy. Three patients (6%) needed computed tomography-guided drainage of persistent large loculi, but none required further surgery. Chest radiographs at 6 weeks after surgery confirmed full lung expansion and resolution of pleural collection in the other 49 patients (94%).




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