Videothoracoscopic surgery before and after chest tube drainage for children with complicated parapneumonic effusion

To evaluate the effectiveness of videothoracoscopic surgery in the treatment of complicated parapneumonic pleural effusion and to determine whether there is a difference in the videothoracoscopic surgery outcome before or after the chest tube drainage. The medical records of 79 children (mean age 35...

Full description

Saved in:
Bibliographic Details
Published in:Jornal de pediatria 2018-03, Vol.94 (2), p.140-145
Main Authors: Knebel, Rogerio, Fraga, Jose Carlos, Amantea, Sergio Luis, Isolan, Paola Brolin Santis
Format: Article
Language:English
Subjects:
Chest tube drainage
Chest Tubes
Child
Child, Preschool
Cirurgia torácica
Cirurgia torácica vídeoassistida
Complicated parapneumonic pleural effusion
Criança
Derrame pleural parapneumônico complicado
Drainage - methods
Drenagem torácica
Empiema pleural
Female
Humans
Infant
Male
PEDIATRICS
Pleural Effusion - etiology
Pleural Effusion - surgery
Pleural empyema
Pneumonia - complications
Pneumonia - surgery
Retrospective Studies
Thoracic surgery
Thoracic Surgery, Video-Assisted
Time Factors
Treatment Outcome
Videothoracoscopic surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To evaluate the effectiveness of videothoracoscopic surgery in the treatment of complicated parapneumonic pleural effusion and to determine whether there is a difference in the videothoracoscopic surgery outcome before or after the chest tube drainage. The medical records of 79 children (mean age 35 months) undergoing videothoracoscopic surgery from January 2000 to December 2011 were retrospectively reviewed. The same treatment algorithm was used in the management of all patients. Patients were divided into two groups: in group 1, videothoracoscopic surgery was performed as the initial procedure; in group 2, videothoracoscopic surgery was performed after previous chest tube drainage. Videothoracoscopic surgery was effective in 73 children (92.4%); the other six (7.6%) needed another procedure. Sixty patients (75.9%) were submitted directly to videothoracoscopic surgery (group 1) and 19 (24%) primarily underwent chest tube drainage (group 2). Primary videothoracoscopic surgery was associated with a decrease of hospital stay (p=0.05), time to resolution (p=0.024), and time with a chest tube (p
ISSN:0021-7557
1678-4782
1678-4782
DOI:10.1016/j.jped.2017.05.008