Surgical treatment for chronic nonspecific pleural empyema after anatomical lung resection
- Authors: Pechetov A.1, Gritsyuta A.1
-
Affiliations:
- A.V. Vishnevsky Medical Research Center of Surgery
- Issue: Vol 29, No 5 (2018)
- Pages: 51-54
- Section: Articles
- URL: https://journals.eco-vector.com/0236-3054/article/view/117213
- DOI: https://doi.org/10.29296/25877305-2018-05-12
- ID: 117213
Cite item
Open Access
Access granted
Abstract
Of all the clinical diversity of empyemas, chronic pleural empyema (PE) in the stage of development is the biggest problem in the view of a thoracic surgeon. A differential approach based on the assessment of risk factors (the etiology of empyema, the length of the stump of the main bronchus, the diameter of bronchopleural anastomosis, and the initial state of the residual pleural cavity) may reduce relapse frequency in patients with PE complicated by bronchopleural fistula and demonstrates encouraging immediate and long-term results. The paper presents a differential approach to choosing a treatment for chronic non-specific PE.
Full Text
About the authors
A. Pechetov
A.V. Vishnevsky Medical Research Center of Surgery
Email: pechetov@ixv.ru
Candidate of Medical Sciences Moscow
A. Gritsyuta
A.V. Vishnevsky Medical Research Center of Surgery
Email: pechetov@ixv.ru
Moscow
References
- Haraguchi S. et al. Analysis of risk factors for postpneumonectomy bronchopleural fistulas in patients with lung cancer // J. Nippon. Med. Sch. -2006; 73: 314-9.
- Zaheer S., Allen M., Cassivi S. et al. Postpneumonectomy empyema: results after the Clagett procedure // Ann. Thorac. Surg. - 2006; 82 (1): 279-86.
- Shapiro M., Swanson S., Wright C. et al. Predictors of major morbidity and mortality after pneumonectomy utilizing the society for thoracic surgeons general thoracic surgery database // Ann. Thorac. Surg. - 2010; 90 (3): 927-35.
- Sirbu H., Busch T., Aleksic I. et al. Bronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors and management // Ann. Thorac. Cardiovasc. Surg. - 2001; 7: 330-6.
- Vallieres E. Management of empyema after lung resections (pneumonectomy/ lobectomy) // Chest Surg. Clin. N. Am. - 2002; 12 (3): 571-85.
- Uçvet A., Gursoy S., Sirzai S. et al. Bronchial closure methods and risks for bronchopleural fistula in pulmonary resections: how a surgeon may choose the optimum method? // Interact. Cardiovasc. Thorac. Surg. - 2011; 12: 558-62.
- Giddings O., Kuhn J., Akulian J. Endobronchial valve placement for the treatment of bronchopleural fistula: a review of the current literature // Curr. Opin. Pulm. Med. - 2014; 20: 347-51.
- Zanotti G., Mitchell J. Bronchopleural Fistula and Empyema After Anatomic Lung Resection // Thorac. Surg. Clin. - 2015; 25 (4): 421-7.
- Coote N., Kay E. Surgical versus non-surgical management of pleural empyema // Cochrane Database Syst. Rev. - 2005; 4: CD001956.
- Taylor M., Kozower B. Surgical spectrum in the management of empyemas // Thorac. Surg. Clin. - 2012; 22 (3): 431-40.
- Assmann A., Boeken U., Feindt P. et al. Vacuum-assisted wound closure is superior to primary rewiring in patients with deep sternal wound infection // Thorac. Cardiovasc. Surg. - 2011; 59: 25-9.
- Rocco G., Cecere C., La Rocca A. et al. Caveats in using vacuum-assisted closure for post-pneumonectomy empyema // Eur. J. Cardiothorac. Surg. - 2012; 41: 1069-71.
- Panagopoulos N., Apostolakis E., Koletsis E. et al. Low incidence of bronchopleural fistula after pneumonectomy for lung cancer // Interact. Cardiovasc. Thorac. Surg. - 2009; 9: 571-5.
- Tsai F., Chen H., Chen S. et al. Free deepithelialized anterolateral thigh myocutaneous flaps for chronic intractable empyema with bronchopleural fistula // Ann. Thorac. Surg. - 2002; 74: 1038-42.
- Saadi A., Perentes J., Gonzalez M. et al. Vacuum-assisted closure device: a useful tool in the management of severe intrathoracic infections // Ann. Thorac. Surg. - 2011; 91: 1582-9.
- Walsh M., Bruno A., Onaitis M. et al. The role of intrathoracic free flaps for chronic empyema // Ann. Thorac. Surg. - 2011; 91 (3): 865-8.
Supplementary files
