From: Complex pleural empyema can be safely treated with vacuum-assisted closure
Variable | P1 | P2 | P3 | P4 | P5 | P6 | P7 | P8 |
---|---|---|---|---|---|---|---|---|
Age | 66♂ | 71♂ | 67♂ | 76♂ | 74♂ | 69♂ | 53♂ | 53♂ |
Karnofsky Index < 50% | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Diagnosis | NSCLC Stage II a | Chronic rib fracture | NSCLC Stage y III a | Atelectasis | Postpneumonic empyema | Emphysema | NSCLC Stage III a | NSCLC Stage y II b |
Neoadjuvant Therapy | No | No | Radiochemo. | No | No | No | No | Chemo. |
Primary Operation | Lobectomy R0 | Chest wall Stabilisation | Lobectomy R0 | Decort. | Decort. (thoracoscopic) | Volume Reduction | Bilobectomy R1 | Pneumectomy R0 |
Pathophys. of Empyema | Postop. | Postop. | Postop. | Postop. | Recurrent | Postop. | Postop. | Postop. |
Onset | Acute | Chronic | Acute | Chronic | Chronic | Acute | Acute | Acute |
Bronchopleural Fistula | Yes | No | No | No | No | No | Yes | No |
Number of Interventions before OWT and VAC | 2 | 1 | 1 | 0 | 0 | 1 | 1 | 0 |
Art of Intervention | Restpneum. Débridement | Débridement | Chest Tube | - | - | Chest Tube | Restpneu. | - |
Microbiological Infection | Strep. Staph. | Staph. | Staph. | Staph. Pseudo. | Strep. | Enterobac. Asperg. | Staph. Asperg. | Staph. |