HomeArchiveVolume 7Volume 7, issue 1Comparative study of open thoracotomy and thoracoscopy on the efficacy of treatment and complications of patients with stage ΙΙ thoracic empyema
Manouchehr Aghajanzade1, Babak Karimi2, Hossein Torabi2, Kasra Shirini3, Siavash Katebi3
1DEPARTMENT OF THORACIC AND GENERAL SURGERY, GUILAN UNIVERSITY OF MEDICAL SCIENCES, RASHT, IRAN
2DEPARTMENT OF GENERAL SURGERY, POURSINA MEDICAL AND EDUCATIONAL CENTER, GUILAN UNIVERSITY OF MEDICAL SCIENCES, RASHT, IRAN
3DEPARTMENT OF GENERAL SURGERY, IRAN UNIVERSITY OF MEDICAL SCIENCE, TEHRAN, IRAN
Abstract
Background. Thoracic empyema is an inflammatory condition of the pleura that can cause many complications and can even threaten people's lives. So, choosing the right treatment method from all available methods can improve the prognosis, reduce costs and post-treatment complications, thus improving the health of patients after the disease. Video-assisted thoracoscopic surgery (VATS) and open thoracotomy are the most commonly used surgical methods. In this study, these two surgical methods have been investigated, in terms of duration of hospitalization, postoperative pain level and the possibility of air leakage (as postoperative complications). Methodology. Patients with thoracic empyema stage II referred (between 2011 and 2020) to the Poursina and Razi Hospital Medical Center, Rasht, Iran were included in a retrospective cohort study. SPSS software and other statistical tests such as the Shapiro-Wilk test, Mann-Whitney non-parametric test, and Chi-square test were used for statistical analysis, and a P-value of less than 0.05 was considered an acceptable value. Results. The investigation on different qualitative and quantitative factors and complications after surgery showed that patients who underwent a VATS procedure had a shorter hospital stay (5.09±1.67 vs. 7.61±2.03), had a lower pain level (4.81±2.22 vs. 8.24±2.39), and the possibility of air leakage as a postoperative complication (41% vs. 56%) was lower than in the case patients who have undergone open thoracotomy. Conclusions. It can be concluded that choosing the VATS method instead of the open thoracotomy can reduce postoperative complications (such as length of hospital stay, pain level and possibility of air leakage) and can reduce the costs of treatment and the degree of health system use, especially during Covid-19 pandemic.
Cite this article:
Vancouver
Aghajanzade M, Karimi B, Torabi H, Shirini K, Katebi S. Comparative study of open thoracotomy and thoracoscopy on the efficacy of treatment and complications of patients with stage ΙΙ thoracic empyema. J Clin Investig Surg. 2022 May 25; 7(1):20-24. Available from: https://www.proscholar.org/jcis/archive/vol.7/iss.1/4/ doi: 10.25083/2559.5555/7.1.4
NLM
Aghajanzade M, Karimi B, Torabi H, Shirini K, Katebi S. Comparative study of open thoracotomy and thoracoscopy on the efficacy of treatment and complications of patients with stage ΙΙ thoracic empyema. J Clin Investig Surg. 2022 May;7(1):20-24. doi: 10.25083/2559.5555/7.1.4.
AMA
Aghajanzade M, Karimi B, Torabi H, Shirini K, Katebi S. Comparative study of open thoracotomy and thoracoscopy on the efficacy of treatment and complications of patients with stage ΙΙ thoracic empyema. J Clin Investig Surg. 2022;7(1):20-24.
MLA
Aghajanzade, Manouchehr, et al. “Comparative study of open thoracotomy and thoracoscopy on the efficacy of treatment and complications of patients with stage ΙΙ thoracic empyema.” Journal of Clinical and Investigative Surgery 7.1 (2022): 20-24. doi:10.25083/2559.5555/7.1.4.
APA
Aghajanzade, M., Karimi, B., Torabi, H., Shirini, K., & Katebi, S. (2022). Comparative study of open thoracotomy and thoracoscopy on the efficacy of treatment and complications of patients with stage ΙΙ thoracic empyema. Journal of Clinical and Investigative Surgery, 7(1), 20-24.
ISO 690
Aghajanzade
, Manouchehr, et al. Comparative study of open thoracotomy and thoracoscopy on the efficacy of treatment and complications of patients with stage ΙΙ thoracic empyema. Journal of Clinical and Investigative Surgery, 2022, 7.1: 20-24.