Video-Assisted-Thoracoscopic-Surgery Pleural Decorticator for Emergency Empyema Surgery.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-10-01 Epub Date: 2023-02-16 DOI:10.1177/15533506231157170

Priyadharshanan Ariyaratnam, Peter Tcherveniakov, Richard Milton, Joshil Lodhia, Nilanjan Chaudhuri

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Abstract

Background/need: Pleural empyemas carry a high morbidity and mortality. Some can be managed with medical treatment but most require some form of surgery with the goals to remove the infected material from the pleural space and to help re-expand the collapsed lung. Keyhole surgery by Video Assisted Thoracoscopy Surgery (VATS) is rapidly becoming a common approach to deal with early stage empyemas to avoid larger, more painful thoracotomies that hinder recovery. However, the ability to achieve those aforementioned goals is often hindered by VATS surgery due to the instruments available.

Methodology and device description: We have developed a simple instrument called the "VATS Pleural Debrider" to achieve those goals in empyema surgery that can be used in keyhole surgery.

Preliminary results: We have used this device in over 90 patients with no peri-operative mortality and a low re-operation rate.

Current status: Used in routine urgent/emergency pleural empyema surgery across 2 cardiothoracic surgery centres.

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视频辅助胸腔镜手术紧急脓胸手术的胸膜剥离器。

背景/需求：胸膜积脓具有较高的发病率和死亡率。有些可以通过药物治疗来控制，但大多数需要某种形式的手术，目的是从胸膜间隙清除受感染的物质，并帮助重新扩张塌陷的肺。视频辅助胸腔镜手术（VATS）的锁孔手术正在迅速成为治疗早期脓胸的常见方法，以避免更大、更痛苦的开胸手术阻碍恢复。然而，由于可用的器械，VATS手术往往阻碍了实现上述目标的能力。方法和设备描述：我们开发了一种名为“胸腔镜胸膜Debrider”的简单仪器，以实现脓胸手术中的这些目标，该仪器可用于锁孔手术。初步结果：我们已经在90多名患者中使用了该设备，患者没有围手术期死亡率，再次手术率低。现状：用于2个心胸外科中心的常规紧急/急诊胸膜积脓手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.