Evidence map›Paper›PMID 32395283›Full record

ArticleJournal of thoracic disease2020

Uniportal video-assisted thoracoscopy is a safe approach in patients with empyema requiring surgery.

Lars B van Middendorp, Stijn Franssen, Sanne Gillissen, Jos G Maessen, Karel W E Hulsewé, Yvonne L J Vissers, Erik R de Loos

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. WABIP/AABIP statement on therapeutic indications of medical thoracoscopy for benign pleural disease.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Lars B van MiddendorpDepartment of Surgery, Division of Thoracic Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Stijn FranssenDepartment of Surgery, Division of Thoracic Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Sanne GillissenDepartment of Surgery, Division of Thoracic Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Jos G MaessenDepartment of Cardiothoracic Surgery, Maastricht UMC+, Maastricht, The Netherlands.
Karel W E HulsewéDepartment of Surgery, Division of Thoracic Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Yvonne L J VissersDepartment of Surgery, Division of Thoracic Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Erik R de LoosDepartment of Surgery, Division of Thoracic Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Zuyderland Medisch Centrum · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmpyema is a well-known complication of pneumonia, with high morbidity and mortality rates. This warrants direct treatment either with antibiotics and chest tube drainage or surgery. With less invasive surgical approaches such as uniportal video-assisted thoracoscopic surgery (uVATS), surgical intervention gets a more prominent role early on in the treatment of empyema. The aim of this study was to compare uVATS with the complete VATS (cVATS) approach in empyema, with respect to postoperative complications, hospital length of stay and mortality.

methodsAll cases of empyema that were treated surgically in our hospital between 2006 and 2019 were included in a retrospective database. The preferential surgical approach changed from cVATS from 2006 to 2015, towards uVATS from 2016 and on, based on the experience of the surgical team. The database included pre- and postoperative data, as well as peropartive characteristics.

resultsOne hundred and thirty-seven patients were treated with cVATS and 49 with uVATS. Apart from a slightly reduced kidney function in the uVATS group (57.3±6.3

conclusionsUniportal VATS is a feasible and safe technique for the use in patients with empyema requiring surgery. Even if decortication in stage III empyema is required this can be performed by uniportal VATS.

Indexed as

complete video-assisted thoracoscopy (cVATS)empyemaparapneumonic effusionUniportal video-assisted thoracoscopy (uVATS)

Identifiers

PMID32395283
PMCPMC7212173
OpenAlexW3011140155

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.