| Video-assisted thoracoscopic surgery of childhood empyema: early referral improves outcome. | |
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MedLine Citation:
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PMID: 20640576 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND/AIM: Video-assisted thoracoscopic surgery (VATS) is considered a safe and effective option in the treatment of childhood empyema. The aim of this study was to assess the efficacy of early referral for primary VATS in childhood empyema. METHOD: A cohort of 24 consecutive children (12 boys, 12 girls) from 2004 to 2009 with post-pneumonic empyema, as demonstrated by loculation on ultrasound, undergoing VATS at a single tertiary level institution, was reviewed. All cases of empyema were managed as per the local protocol of early referral for primary VATS. RESULTS: Mean age of presentation was 54 months (5 months to 15 years). Mean duration of symptoms before presentation to our centre was 6.29 days (±2.74 days) (range 1-10 days) and mean time to referral to the paediatric surgical unit was 1.95 days (±2.57 days). VATS was performed in all patients with a mean operating time 113.7 min (±37.0 min), which included time for bronchoscopy (range 43-184 min). The mean duration of chest drainage was 4 days (±2.96 days) and post-operative hospitalisation was 6.88 days (±4.11 days). CONCLUSION: Early primary VATS for post-pneumonic empyema in children demonstrated a higher success rate, lower conversion to open thoracotomy improved outcome and shorter hospitalisation. |
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Authors:
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Shanta Velaiutham; Sanjeeva Pathmanathan; Bruce Whitehead; Rajendra Kumar |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric surgery international Volume: 26 ISSN: 1437-9813 ISO Abbreviation: Pediatr. Surg. Int. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8609169 Medline TA: Pediatr Surg Int Country: Germany |
Other Details:
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Languages: eng Pagination: 1031-5 Citation Subset: IM |
Affiliation:
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Department of Paediatric Surgery, John Hunter Children's Hospital, Locked Bag 1, Hunter Region Mail Centre, Newcastle, NSW 2310, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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