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(Chest. 2001;119:277-280.)
© 2001 American College of Chest Physicians

Video-Assisted Thoracoscopic Sterilization for Exacerbation of Chronic Empyema Thoracis*

Takashi Suzuki, MD; Akihiko Kitami, MD; Shuichi Suzuki, MD; Yoshito Kamio, MD; Michiaki Narushima, MD and Hajime Suzuki, MD

* From the Departments of Thoracic and Cardiovascular Surgery (Drs. T. Suzuki, Kitami, S. Suzuki, and Kamio), and Internal Medicine (Drs. Narushima and H. Suzuki), Showa University Fujigaoka Hospital, Yokohama, Japan.

Correspondence to: Takashi Suzuki, MD, Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, 1–30 Fujigaoka, Aoba-ku, Yokohama 227-8501, Japan

Study objective: To investigate the efficacy of video-assisted thoracoscopic sterilization to treat patients with exacerbation of chronic empyema thoracis.

Design: Case reports and literature review.

Setting: Academic department of surgery.

Patients: Two elderly, debilitated patients with worsening, chronic empyema thoracis as diagnosed by radiographs, CT, and thoracentesis. Both patients had a history of therapeutic pneumothorax for tuberculosis without bronchopleural fistulas.

Interventions: Video-assisted thoracoscopic sterilization of the thoracic cavity.

Measurements and results: There was no recurrence of empyema during a 6-year follow-up period for one patient and a 2.5-year follow-up period for the other patient.

Conclusions: Video-assisted thoracoscopic sterilization is a minimally invasive useful treatment for elderly or debilitated patients with exacerbation of chronic empyema thoracis.

Key Words: chronic empyema thoracis • therapeutic pneumothorax • video-assisted thoracoscopic surgery




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