초록접수 현황
| 17F-110 | 구연 발표 |
Management of Loculated Pleural Effusion : Surgical vs Non-surgical
YongJin Chang, DeogGon Cho, KyuDo Cho, ChulUng Kang, MinSeop Cho
Departments of Thoracic and Cardiovascular Surgery, St. Vincent`s Hospital, The Catholic University College of Medicine, Gyeonggi-do, Republic of Korea
Purpose : The study objective was to evaluate the clinical outcomes of VATS surgical drainage (VD) compaired with pig-tailed catheter drainage (PD) as an initial treatment of loculated pleural effusion.
Methods : From Jan 2014 to Mar 2017, we retrospectively analyzed the medical records of 135 patients who presented with loculated pleural effusion and were initially treated with PD or VD.
Results : Of 135 patients, 22 underwent VD and 113 underwent PD as the first intervention. Among them who underwent PD, 25(22.1%) received additional VD during admission (=combined drainage, CD). Most of the 47 patients who underwent VD were multiloculated pleural effusion (36/47, 76.6%). Length of hospital stay(LOS) was10.8 ± 4.2 days in VD, 13.8 ± 7.5 in PD and 18.9±7.6 in CD (p=0.001). VD group (21/22, 95.5%) showed a better treatment success rate compared with PD (54/88, 61.4%) and CD (22/25, 88%) (p=0.005).
Conclusion : Initial VATS surgical drainage was more effective compaired with non-surgical drainage in patients of loculated pleural effusion. Especially, in multiloculated pleural effusion, it shows superior therapeutic effect as an initial treatment.
Methods : From Jan 2014 to Mar 2017, we retrospectively analyzed the medical records of 135 patients who presented with loculated pleural effusion and were initially treated with PD or VD.
Results : Of 135 patients, 22 underwent VD and 113 underwent PD as the first intervention. Among them who underwent PD, 25(22.1%) received additional VD during admission (=combined drainage, CD). Most of the 47 patients who underwent VD were multiloculated pleural effusion (36/47, 76.6%). Length of hospital stay(LOS) was10.8 ± 4.2 days in VD, 13.8 ± 7.5 in PD and 18.9±7.6 in CD (p=0.001). VD group (21/22, 95.5%) showed a better treatment success rate compared with PD (54/88, 61.4%) and CD (22/25, 88%) (p=0.005).
Conclusion : Initial VATS surgical drainage was more effective compaired with non-surgical drainage in patients of loculated pleural effusion. Especially, in multiloculated pleural effusion, it shows superior therapeutic effect as an initial treatment.
책임저자: DeogGon Cho
Departments of Thoracic and Cardiovascular Surgery, St. Vincent`s Hospital, The Catholic University College of Medicine, Gyeonggi-do, Republic of Korea
발표자: YongJin Chang, E-mail : tsmate@hanmail.net