A CASE REPORT OF VIDEO-ASSISTED THORACOSCOPIC DEBRIDEMENT AND DECORTICATION VIA MINITHORACOTOMY FOR ACUTE EMPYEMA IN A CHILD

  • HASUDA Norio
    Department of Pediatric Surgery, University of Yamanashi, Faculty of Medicine
  • TAKANO Kunio
    Department of Pediatric Surgery, University of Yamanashi, Faculty of Medicine
  • SUZUKI Takeyuki
    Department of Pediatric Surgery, University of Yamanashi, Faculty of Medicine
  • KOSHIZUKA Kozo
    Department of Pediatric Surgery, University of Yamanashi, Faculty of Medicine
  • MATSUMOTO Masahiko
    Department of Pediatric Surgery, University of Yamanashi, Faculty of Medicine

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Other Title
  • 小開胸併用,胸腔鏡手術が有用であった小児の急性膿胸の1例

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Abstract

A 9-year-old boy was admitted to the hospital because of persistent fever of 39°C or greater and left sided pleural effusion. On admission he developed left sided empyema which rapidly progressed and could not be controlled with chest tube drainage. We thus performed video-assisted thoracoscopic debridement and decortication via minithoracotomy.<BR>Video-assisted thoracoscopic debridement and decortication via minithoracotomy is a safe and effective technique for acute empyema in pediatric patients. Childhood acute empyema tends to progress rapidly and we have difficulties in placing a thick chest tube due to the patient's physique. When the conservative treatment with chest tube drainage becomes ineffective, we should consider video-assisted thoracoscopic debridement and decortication via minithoracotomy as soon as possible.

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