Thorac Cardiovasc Surg 2005; 53(3): 188-190
DOI: 10.1055/s-2004-830569
Short Communication

© Georg Thieme Verlag KG Stuttgart · New York

Video-Thoracoscopy and Staged Management of Preoperative Empyema in Lung Cancer

P. Froeschle1 , W. Wanke2 , A. Granetzny1
  • 1Clinic for Thoracic Surgery, Evangelic Hospital Duisburg-Nord, Duisburg, Germany
  • 2Clinic for Thoracic and Cardiovascular Surgery, Heart Center, Duisburg, Germany
Further Information

Publication History

Received November 4, 2004

Publication Date:
30 May 2005 (online)

Abstract

The incidence of pleural empyema as a primary finding in lung cancer patients is low (0.1 to 0.3 %) and the management of those patients deemed operable consists of either infection control prior to resection, or thoracotomy and resection before infection control. We successfully resolved (in one patient) and alleviated (in a second patient) empyema-related systemic infection by video-assisted thoracic surgery (VATS), and were thus able to resect their lung tumours 14 and 21 days later, respectively.

References

  • 1 Harada M, Yoshida J, Yokose T, Nishiwaki Y, Nagai K. Surgical management of primary lung cancer in an elderly patient with preoperative empyema.  Jpn J Clin Oncol. 1999;  29 571-575
  • 2 Koike T, Takizawa T, Akamatsu H, Yuuzou K, Yokohama A, Honma T. Resection of lung cancer complicated by pleural empyema.  Nippon Kyobu Shikkan Gakkai Zasshi. 1995;  33 670-673
  • 3 Landreneau R J, Keenan R J, Hazelrigg S R, Mack M J, Naunheim K S. Thoracoscopy for empyema and hemothorax.  Chest. 1995;  109 18-24
  • 4 Roviaro G C, Varoli F, Rebuffat C, Sonnino D, Vergani C, Macciocco M, Pastori S. Videothoracoscopic operative staging for lung cancer.  Int Surg. 1996;  81 252-254
  • 5 Stephan F, Boucheseiche S, Hollande J, Flahault A, Cheffi A, Bazelly B, Bonnet F. Pulmonary complications following lung resection.  Chest. 2000;  118 1263-1270
  • 6 Postma M H, Le Roux B T. The place of external drainage in the management of lung abscess.  S Afr J Surg. 1986;  24 156-158
  • 7 Refaely Y, Weissberg D. Gangrene of the lung: treatment in two stages.  Ann Thorac Surg. 1997;  64 970-973

MD Peter Froeschle

Thoracic Surgery
Royal Devon & Exeter Hospital

Barrack Road

Exeter EX2 5DW

United Kingdom

Email: peter.froeschle@rdehc-tr.swest.nhs.uk

    >