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KMID : 1164620190520030125
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Korean Journal of Thoracic and Cardiovascular Surgery
2019 Volume.52 No. 3 p.125 ~ p.130
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Thoracotomy versus Video-Assisted Thoracoscopy in Pediatric Empyema
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Mohajerzadeh Leily
Lotfollahzadeh Saran
Vosoughi Armin
Harirforoosh Iman
Parsay Sina
Amirifar Hesam
Farahbakhsh Nazanin
Atqiaee Khashayar
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Abstract
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Background: To compare the outcomes of video-assisted thoracoscopic surgery (VATS) in comparison to open thoracic surgery in pediatric patients suffering from empyema.
Methods: A prospective study was carried out in 80 patients referred to the Department of Pediatric Surgery between 2015 and 2018. The patients were randomly divided into thoracotomy and VATS groups (groups I and II, respectively). Forty patients were in the thoracotomy group (16 males [40%], 24 females [60%]; average age, 5.77±4.08 years) and 40 patients were in the VATS group (18 males [45%], 22 females [55%]; average age, 6.27±3.67 years). There were no significant differences in age (p=0.61) or sex (p=0.26). Routine preliminary workups for all patients were ordered, and the patients were followed up for 90 days at regular intervals.
Results: The average length of hospital stay (16.28±7.83 days vs. 15.83±9.44 days, p=0.04) and the duration of treatment needed for pain relief (10 days vs. 5 days, p=0.004) were longer in the thoracotomy group than in the VATS group. Thoracotomy patients had surgical wound infections in 27.3% of cases, whereas no cases of infection were reported in the VATS group (p=0.04).
Conclusion: Our results indicate that VATS was not only less invasive than thoracotomy, but also showed promising results, such as an earlier discharge from the hospital and fewer postoperative complications.
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KEYWORD
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Empyema, Video-assisted thoracic surgery, Thoracotomy
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