Uniportal versus triportal video-assisted thoracic surgery in the treatment of tuberculous empyema

Xia, Zhaohua1,2; Zheng, Shuo1,2; Shi, Qinlang1,2; Wang, Haijiang1,2; Ning, Xinzhong1,2; Huang, Pilai1,2; Wen, Guohuan1,2; Xiang, Ning1,2; Liao, Mingfeng1,3; Ma, Mingfei1,4; Qiao, Kun1,2,5

2023-05-01

10.1177/03000605231169901

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH   影响因子和分区

0300-0605

1473-2300

ObjectiveTo examine the effectiveness of decortication to treat chronic tuberculous empyema (TE) using uniport video-assisted thoracoscopic surgery (VATS) versus conventional triport VATS. MethodsData from consecutive patients with stage II or III TE who underwent decortication with either uniport VATS (uniportal group) between July and December 2017, or triport VATS between January and July 2018 (triportal group), were retrospectively analysed. VATS procedures were performed under general anaesthesia with double lumen endotracheal intubation and clinical outcomes were compared between the two groups. ResultsClinical data were comparable between the groups (20 patients in each) regarding demographic and baseline characteristics, operative and postoperative characteristics, surgical procedure-related complications, and postoperative adverse events. No surgical procedure-related complications occurred during the perioperative period in either group. Threshold values for mechanical pain at 8 h postoperatively were significantly higher in the triportal group versus the uniportal group. Furthermore, the incidence of nausea and vomiting was significantly lower in the uniportal versus triportal group. In the triportal group, one patient required readmission and further intervention due to recurrence. ConclusionsUniport VATS decortication for stages II and III TE may be a feasible and safe procedure in selected patients. Moreover, uniport VATS may be less painful than triport VATS.

Uniportal VATS tuberculous empyema video-assisted thoracic surgery triportal VATS decortication adverse events

SCI

英语

第一 ; 通讯

Natural Science Foundation of China[31500727] ; Science and Technology Project of Shenzhen[JCYJ20150402111430624] ; Shenzhen Municipal Health and Family Planning Commission[201501030] ; Chen Jingyu team of the Sanming Project of Medicine in Shenzhen[SZSM201812058]

Research & Experimental Medicine ; Pharmacology & Pharmacy

Medicine, Research & Experimental ; Pharmacology & Pharmacy

WOS:000981615900001

SAGE PUBLICATIONS LTD

CLINICAL MEDICINE

Web of Science

1.Southern Univ Sci & Technol, Affiliated Hosp 2, Dept Thorac Surg, Shenzhen, Peoples R China
2.Third Peoples Hosp Shenzhen, Dept Thorac Surg, Shenzhen, Peoples R China
3.Shenzhen Third Peoples Hosp, Guangdong Key Lab Diag & Treatment Emerging Infect, Shenzhen, Peoples R China
4.Third Peoples Hosp Shenzhen, Dept Anaesthesiol, Shenzhen, Peoples R China
5.Southern Univ Sci & Technol, Affiliated Hosp 2, Peoples Hosp Shenzhen 3, Dept Thorac Surg, 29 Bulan Rd, Shenzhen 518000, Peoples R China

Xia, Zhaohua,Zheng, Shuo,Shi, Qinlang,et al. Uniportal versus triportal video-assisted thoracic surgery in the treatment of tuberculous empyema[J]. JOURNAL OF INTERNATIONAL MEDICAL RESEARCH,2023,51(5).

Xia, Zhaohua.,Zheng, Shuo.,Shi, Qinlang.,Wang, Haijiang.,Ning, Xinzhong.,...&Qiao, Kun.(2023).Uniportal versus triportal video-assisted thoracic surgery in the treatment of tuberculous empyema.JOURNAL OF INTERNATIONAL MEDICAL RESEARCH,51(5).

Xia, Zhaohua,et al."Uniportal versus triportal video-assisted thoracic surgery in the treatment of tuberculous empyema".JOURNAL OF INTERNATIONAL MEDICAL RESEARCH 51.5(2023).