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Date Published: 21/03/2022
Online Published: 21/03/2022
Abstract Views: 441
Views PDF: 471
DOI: https://doi.org/10.47972/vjcts.v36i.737
Issue
Vol. 36
Section
Research Article
How to Cite
Khanh, N. S., Dua, P. T. T., Tuan, D. V., Tuyen, N. D., Duc, D. D. ., Luong, D. V., & Thanh, L. N. (2022). Result of VATS surgery to treat stage III empyema at the Vietnam National Lung hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 36, 36-43. https://doi.org/10.47972/vjcts.v36i.737

Result of VATS surgery to treat stage III empyema at the Vietnam National Lung hospital

Nguyen Si Khanh, Pham Thi Thanh Dua , Dinh Van Tuan, Nguyen Duc Tuyen, Dang Duy Duc, Dinh Van Luong, Le Ngoc Thanh

Main Article Content

Abstract

Objectives: To describe the clinical and laboratory features of stage III empyema and  to evaluate the effectiveness and safety of  using VATS surgery to treat stage III empyema at the Vietnam National Lung hospital.


Methods: Propective observational study. From 7/2019 to 01/2020 a total of 58 stage III empyema patients diagnosed who were treated at the Department of Thoracic Surgery – NLH were included in this study. Data were analyzed using SPSS software version 22.0Results: Among 58 patients with stage III empyema, 39 were treated by total VATS surgery, 19 by VATS as supported procedures. The mean age was 45±19.5 (17-85) years old. Male/female ratio :3.83. The main clinical symptoms were chest pain (81.0%), shortness of breath (70.7%), cough (60.3%). Average surgical time: 127.2±41.6(60- 250) minutes, draining time: 7.5±3 days, hospitalization time 10.3±3.4 (5-22) day. 96.6% of patients discharged with well conditions, confirmed by lung well-expanded lungs on Xrays, the success rate was 94.8%, and there was no patient death.Conclusion: Diagnosing stage III empyema was mainly based on clinical symptoms, chest HRCT. VATS surgery  is  the safe and effective technique, which helps to reduce surgery time, draining, lying down and reducing pain for patients.

Article Details

Keywords

Empyema, VATS, Decortication

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