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J Thorac Cardiovasc Surg 2006;132:708-710
© 2006 The American Association for Thoracic Surgery

Brief Communication

Postpneumonectomy empyema treated with a combination of antibiotic irrigation followed by videothoracoscopic debridement

Patrick Bagan, MD, Florence Boissier, MD, Pascal Berna, MD, Alain Badia, MD, Françoise Le Pimpec-Barthes, MD, Redha Souilamas, MD, Marc Riquet, MD*

Department of Thoracic Surgery, Georges Pompidou European Hospital, Paris V University, Paris, France.

Received for publication March 23, 2006; accepted for publication May 9, 2006.

* Address for reprints: Marc Riquet, MD, Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, 20-40 rue Leblanc, 75908 Paris, France (Email: marc.riquet@egp.aphp.fr).

The first 20% of the full text of this article appears below.

Postpneumonectomy empyema (PPE) is a serious complication in fragile patients. Usual surgical treatment ranges from pleural irrigation1Go to aggressive management with open-window thoracostomy.2Go This study reports a minimally invasive method combining antibiotic irrigation and videothoracoscopic debridement.

Clinical Summary

Between January 2000 and December 2005, 254 pneumonectomies were performed at our department. PPE confirmed by bacteriologic examination of the pleural fluid developed in 18 patients (7%), 16 men and 2 women with a mean age of 65.2 years. Clinical and bacteriologic characteristics are depicted in Table 1. Seven patients had a neoadjuvant therapy. Pneumonectomy was performed under antibiotic prophylaxis with a second-generation cephalosporin (cefamandole). The mean interval between surgery and PPE was 12 days (2-35 days). After bronchoscopic exclusion of a bronchopleural fistula and . . . [Full Text of this Article]




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D. Schneiter, T. Grodzki, D. Lardinois, P. B. Kestenholz, J. Wojcik, B. Kubisa, J. Pierog, and W. Weder
Accelerated treatment of postpneumonectomy empyema: A binational long-term study
J. Thorac. Cardiovasc. Surg., July 1, 2008; 136(1): 179 - 185.
[Abstract] [Full Text] [PDF]


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