Thoracotomy vs Video-assisted Thoracoscopy in Pediatric Empyema
Leily Mohajerzadeh, Khashayar Atqiaee, Gholamreza Ebrahimisaraj
Objective Comparison of Outcomes between video-assisted Thoracoscopy surgery (VATS) and open thoracic surgery Methods A prospective study was done in 42 patients referred to Department of Pediatric Surgery, between 2015 and 2017. Patients were divided into two groups, thoracotomy (group I) and VATS (group II) randomly. Both groups were similar by terms of age, sex and comorbidities. Routine pre and post-operative workups ordered. Patients were followed up for a course of 90 days. Results The mean operative time, average the drainage time, average length of hospital stay, duration of use of medicine to relieve the pain were longer in group I than group II. Death due to pulmonary complications during the first 30 days after the surgery was seen in one case in the group I. Conclusion It seems that the less invasive VATS procedure is a suitable technique for management of the patients with empyema.
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