A new technique for one-stage radical eradication of long-standing chronic thoracic empyema

Tatsumura, Toshiki; Koyama, Satoshi; Yamamoto, Keiichi; Tsujimoto, Masaru; Sato, Hirofumi; Kitagawa, Masanobu; Tomita, Kunio

doi:10.1016/s0022-5223(19)36970-3

Cited by 5 publications

(2 citation statements)

References 15 publications

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“…114 Other surgical options are muscle flap closure in postpneumonectomy empyema 127 and decortication limited to the parietal sides of the peel sac. 128 In the treatment of empyema necessitatis, intrathoracic transposition of extrathoracic skeletal muscles has been performed, with good results. 129…”

Section: Tuberculous Empyemamentioning

confidence: 99%

Tuberculous Pleural Effusion and Tuberculous Empyema

Ferrer

2001

Seminars in Respiratory and Critical Care Medicine

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Tuberculous pleuritis has increased worldwide, especially in developing countries, as a consequence of human immunodeficiency virus co-infection. Tuberculous pleuritis is a delayed hypersensitivity reaction against mycobacterial antigens in the pleural space. Mycobacteria are detected in less than 50% of pleural samples, but the characteristic pleural involvement, granulomas with or without caseous necrosis, is evident in 56 to 80% of cases from samples obtained by percutaneous pleural biopsy. Of several pleural fluid parameters studied, adenosine deaminase and interferon gamma (IFN-gamma) have the best diagnostic yield, while polymerase chain reaction remains a promising test. Treatment of patients with tuberculous pleuritis is discussed. Tuberculous empyema is a rare form of tuberculous pleuritis. It consists of a purulent infection of the pleural cavity with detectable bacilli in pleural fluid. Diagnosis is easily established clinically and bacteriologically. Treatment is to adequately drain the pleural space and achieve lung reexpansion, in conjunction with antituberculous chemotherapy. The efficacy of different surgical techniques is discussed.

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Section: Tuberculous Empyemamentioning

confidence: 99%

Tuberculous Pleural Effusion and Tuberculous Empyema

Ferrer

2001

Seminars in Respiratory and Critical Care Medicine

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“…In patients with destroyed lung due to extensive pulmonary tuberculosis, decortication is futile and pneumonectomy and/or thoracoplasty are recommended for the treatment of pulmonary and pleural tuberculosis [14,15]. However, the complication rate after pneumonectomy has been reported to be high [14,15].…”

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confidence: 99%