Thoracoscopic decortication vs tube thoracostomy with fibrinolysis for empyema in children: a prospective, randomized trial.

@article{Peter2009ThoracoscopicDV,
  title={Thoracoscopic decortication vs tube thoracostomy with fibrinolysis for empyema in children: a prospective, randomized trial.},
  author={Shawn David St. Peter and Kuojen Tsao and Troy L. Spilde and Scott J. Keckler and Christopher Gerrard Harrison and Michael A. Jackson and Susan W. Sharp and Wesley L. Andrews and Douglas C. Rivard and Frank P. Morello and George W. Holcomb and Daniel J. Ostlie},
  journal={Journal of pediatric surgery},
  year={2009},
  volume={44 1},
  pages={
          106-11; discussion 111
        }
}
PURPOSE Management of empyema has been debated in the literature for decades. Although both primary video-assisted thoracoscopic surgery (VATS) and tube thoracostomy with pleural instillation of fibrinolytics have been shown to result in early resolution when compared to tube thoracostomy alone, there is a lack of comparative data between these modes of management. Therefore, we conducted a prospective, randomized trial comparing VATS to fibrinolytic therapy in children with empyema. METHODS… CONTINUE READING
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