ArticleJournal of thoracic disease2017
A meta-analysis of video-assisted thoracoscopic decortication versus open thoracotomy decortication for patients with empyema.
Article in Journal of thoracic disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Guidelines for the treatment of empyema (The Japanese Association for Chest Surgery).General thoracic and cardiovascular surgery · 2025Guideline
- The Revolution in Surgery That Saves Millions of Lives.Journal of clinical medicine · 2026Review
- Enzymatic therapyERJ open research · 2025Article
- Article
- Impact of Initial Surgical Interventions on Empyema Outcomes: Insights From a Cohort Study in Yemen.Cureus · 2024Article
- Infective Pleural Effusions-A Comprehensive Narrative Review Article.Clinics and practice · 2024Review
- The clinician's dilemma with spontaneous bacterial empyema.Clinical liver disease · 2023Article
- Uniportal versus triportal video-assisted thoracic surgery in the treatment of tuberculous empyema.The Journal of international medical research · 2023Article
- The uniportal VATS in the treatment of stage II pleural empyema: a safe and effective approach for adults and elderly patients-a single-center experience and literature review.World journal of emergency surgery : WJES · 2022Review
- Long-term outcome in mediastinal malignancies: video-assisted thoracoscopic versus open surgery.Indian journal of thoracic and cardiovascular surgery · 2021Article
- Predictors and Clinical Outcomes in Empyema Thoracis Patients Presenting to the Emergency Department Undergoing Video-Assisted Thoracoscopic Surgery.Journal of clinical medicine · 2019Article
- Treating empyema thoracis using video-assisted thoracoscopic surgery and open decortication procedures: a systematic review and meta-analysis by meta-mums tool.Archives of medical science : AMS · 2019Article
- Hybrid Therapy for Mycotic Aortic Aneurysm with Stent-Graft and Video-Assisted Thoracoscopic Debridement.Annals of vascular diseases · 2019Article
- Uniportal video-assisted thoracic surgery in the treatment of pleural empyema.Journal of thoracic disease · 2018Article
- Comparison of outcome of surgery for tubercular and nontubercular empyema: An analysis of 285 consecutive cases.Lung India : official organ of Indian Chest SocietyArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracic pleural empyema is a collection of pus within a thoracic cavity. In stage 2 (fibrinopurulent) and stage 3 (organizational), decortication is the only choice. But there is no consensus on whether to choose video-assisted thoracoscopic decortication (VATD) or open thoracotomy decortication (OTD). We sought to answer this question by performing a meta-analysis.
methodSix electronic databases were searched. Primary outcomes were operative time, postoperative hospital stay, prolonged air leak, chest tube duration, relapse rate, morbidity and mortality. Review Manager (RevMan) [Computer program]. Version 5.2, 2014 was used to pool the data. Subgroup analysis and publication bias analysis were also conducted.
resultThe operative time [mean difference -36.89; 95% confidence interval (CI), -60.96 to -12.82; P=0.003], postoperative hospital stay (mean difference -2.41; 95% CI, -3.74 to -1.09; P=0.0004), prolonged air leak (9.7%
conclusionsThe present study summarized and compared the clinical outcomes of VATD versus OTD for the empyema patients. The current data showed that VATD might be comparable or even better than OTD in terms of operative time, postoperative hospital stay, chest tube duration, prolonged air leak rate, morbidity and mortality. But referring to the relapse rate, there was no statistical significance. The results from analysis was subject bias because of prospective randomized studies were not selected. However, VATD could be implemented safely as first-line management for most of empyema.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.