Pediatric Video Assisted Thoracoscopic Surgery (VATS) in Management of Empyema
Video Assisted Thoracoscopic Surgery (VATS) Versus Thoracotomy in Management of Empyema in Pediatric Patients
Assiut University
73 participants
Apr 1, 2024
INTERVENTIONAL
Conditions
Summary
Thoracic surgeons have developed a thoracoscopic procedure which is less intrusive method allows complete evacuation and washing of the debris from the pleural cavity. This approach may also have the benefit of less invasive maneuver, a shorter hospital stay and a decreased rate of postoperative complications. The aim of this study is to evaluate the advantages and disadvantages of the video-assisted thoracoscopic surgery (VATS) approach in comparison with thoracotomy in management of empyema in pediatric patients.
Eligibility
Inclusion Criteria3
- pediatric patients 1 yrs. : ≤ 18 yrs.
- Patients with empyema due to pneumonia.
- Patients with empyema had lasted for fewer than 3 weeks.
Exclusion Criteria9
- Patients < 1 yrs. old.
- Patients with whom pleural empyema had lasted for more than 3 weeks.
- Patients with empyema had been caused by trauma.
- Patients whose parents refuse to be included in the study.
- Patients with empyema due to ruptured lung abscess.
- Patients with empyema due to chest wall abscess.
- Patients with empyema due to rib osteomyelitis.
- Patients with bronchopleural fistula.
- Patients with post-surgical empyema.
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Interventions
the investigators compare the outcomes of intervention by VATS and doing complete decortication or open surgery thoracotomy
the investigators assess the outcomes of intervention by doing complete decortication through open surgery thoracotomy
Locations(1)
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NCT06424457