DOI: 10.12956/tchd.1294886 ISSN: 1307-4490

Çocuklarda Plevral Ampiyemde Video Yardımlı Torakoskopik Dekortikasyonun Sonuçları

Ufuk ATEŞ, Ergun ERGÜN, Anar QURBANOV, Pari KHALİLOVA, Sümeyye SÖZDUYAR, Ergin ÇİFTÇİ, Halil ÖZDEMİR, Gül ARGA, Hatice Kubra KONCA, Emrah GUN, Tanıl KENDİRLİ, Meltem KOLOĞLU, Aydın YAĞMURLU, Ahmet ÇAKMAK, Gülnur GÖLLÜ BAHADIR
  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • General Medicine
Objectives: The aim of this study is to determine efficacy, safety, and feasibility of video-assisted thoracoscopic surgery (VATS) in childhood empyema with two port technique. Materials and Methods: 34 patients under 17 years of age were included to the study. Demographic and clinical data of the patients were recorded retrospectively. Results: 34 patients under 17 years of age were included in the study. The first time the complaints started was 12 days. VATS was performed on mean 12 (2-46) days after the complaints of the patients started. The empyemas were in right hemithorax in 21 children and left in 11. Two patients underwent bilateral decortication Mean of chest tube removal time was 9.70 (2-26) days. While the postoperative stay was 23.50 (4-120) days, the total hospital stay was 32.50 (7-142) days. Emphysema developed in 7 patients in the following period. Chest tube revision was performed in a patient. Emphysema spontaneously regressed at follow-up in 6 patients. Two children had died due to 1- arrest and 2 – after liver transplant. Conclusion: VATS is a feasible method with good results pleural empyema in children. The results are satisfactory in the early or late period of disease.

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