Accelerated treatment of concomitant empyemaand lung cancer by video-assisted thoracoscopic surgery
MetadataShow full item record
CitationEryiğit, H., Orki, A., Unaldi, M., Özdemir, A., Orki, T., Koşar, A., Recep, D. ve Arman, B. (2016). Accelerated treatment of concomitant empyemaand lung cancer by video-assisted thoracoscopic surgery. Cirugia Espanola. 94(2), s. 100-104.
Background: The most common cause of pleural empyema are parapneumonic effusions,and lung cancer is a rare cause of empyema. The aim of the present study is to analyse theresults of the thoracoscopic treatment of empyema before definitive oncological treatment.Methods: Retrospective descriptive study of 332 patients including different clinical vari-ables between 2002 and 2010.Results: Among 332 patients with empyema, the etiology of this disease was lung cancer in11 patients. Ten of these patients were male and one was female (median age, 57.9 years;range, 46–76). The initial treatment was tube thoracostomy in 8 patients and video-assistedthoracoscopic surgery in 3 patients. Thoracoscopic debridement was performed in 4patients whose tube thoracostomy underperformed because of insufficient drainage. Themethods used for diagnosis of lung cancer were fiberoptic bronchoscopy and video-assistedthoracoscopic surgery. Surgical resection was performed on 7 suitable patients followinginfection control. Postoperative bronchopleural fı ́stula and empyema occurred after pneu-monectomy in one case. No operative mortality was observed. The mean survival time was32.8 months for patients undergoing resection.Conclusions: Empyema could be a rare presentation of lung cancer and those suitable forsurgical treatment should undergo standard treatment with reasonable results.
- Makale Koleksiyonu