SURGICAL TREATMENT FOR CHRONIC NONSPECIFIC PLEURAL EMPYEMA AFTER ANATOMICAL LUNG RESECTION

DOI: https://doi.org/10.29296/25877305-2018-05-12
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Issue: 
5
Year: 
2018

A. Pechetov, Candidate of Medical Sciences; A. Gritsyuta A.V. Vishnevsky Medical Research Center of Surgery, Moscow

Of all the clinical diversity of empyemas, chronic pleural empyema (PE) in the stage of development is the biggest problem in the view of a thoracic surgeon. A differential approach based on the assessment of risk factors (the etiology of empyema, the length of the stump of the main bronchus, the diameter of bronchopleural anastomosis, and the initial state of the residual pleural cavity) may reduce relapse frequency in patients with PE complicated by bronchopleural fistula and demonstrates encouraging immediate and long-term results. The paper presents a differential approach to choosing a treatment for chronic non-specific PE.
Keywords: 
pleural empyema
vacuum therapy
omentoplasty
bronchus stump plasty
pneumonectomy

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