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dc.contributor.authorPanko, Siarhei
dc.contributor.authorVakulich, Denis
dc.contributor.authorKarpitski, Aliaksandr
dc.contributor.authorZhurbenka, Henadzi
dc.contributor.authorShestiuk, Andre
dc.contributor.authorBoufalik, Rostislav
dc.contributor.authorr Ihnatsiuk, Aliaksand
dc.date.accessioned2020-12-11T10:59:01Z
dc.date.available2020-12-11T10:59:01Z
dc.date.issued2020
dc.identifier.urihttp://rep.brsu.by:80/handle/123456789/6086
dc.description.abstractIntroduction: Intrathoracic negative pressure therapy is an adjunct to standard methods of complex empyema management in debilitated patients. Nevertheless, the use of endoscopic one-way endobronchial valves to successfully close large bronchopleural fistulas in patients with advanced pleural empyema has been described in only a few case reports. Aim: To present our experience in managing complex pleural empyema using thoracostomy with intrathoracic negative pressure therapy and/or endobronchial valve implantation. Material and methods: We retrospectively analyzed data from 13 consecutive patients (11 men, mean age: 56 years, range: 38–80 years) who were treated for pleural empyema using thoracostomy with intrathoracic negative pressure therapy and/or endobronchial valve implantation between October 2015 and November 2017. Results: The control of empyema was satisfactory in 12 patients; however, 1 patient died from sepsis-related multiorgan failure despite complete cessation of air leak on day 9 after endobronchial valve implantation. The overall success rate for the final closure of the chest wall was 9/12 patients (75%): in 5 patients, the wall closed spontaneously, and in 4, the wall was closed using thoracomyoplasty. Conclusions: Thoracostomy with intrathoracic negative pressure therapy, endobronchial valve implantation with tube drainage, and a combination of the two could adequately manage patients with pleural empyema with or without a persistent air leakage fistula.ru_RU
dc.language.isoenru_RU
dc.publisherKielce (Poland)ru_RU
dc.relation.ispartofseriesVideosurgery Miniinv;15 (4)
dc.subjectbronchopleural fistula, video-assisted thoracoscopic surgery, empyema, intrathoracic negative pressure therapy, endobronchial valve.ru_RU
dc.titleIntrathoracic negative pressure therapy and/or endobronchial valve for pleural empyema minimal invasive management: case series of thirteen patients and review of the literatureru_RU
dc.typeArticleru_RU


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