Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods.

Jiakun Liu, Yanchao Luan, Qingsong Han, Wei Zhao

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Article in Perioperative medicine (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

Efficacy and safety of intercostal nerve block for postoperative analgesia in patients with stage III tuberculous empyema: a retrospective study based on propensity score matching.Journal of thoracic disease · 2025
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4 authors.

Jiakun LiuDepartment of Thoracic Surgery, Hebei Chest Hospital, Hebei Provincial Key Laboratory of Pulmonary Disease, 372 Shengli North Street, Shijiazhuang, Hebei, 050000, People's Republic of China.

Yanchao LuanDepartment of Thoracic Surgery, Hebei Chest Hospital, Hebei Provincial Key Laboratory of Pulmonary Disease, 372 Shengli North Street, Shijiazhuang, Hebei, 050000, People's Republic of China.

Qingsong HanDepartment of Thoracic Surgery, Hebei Chest Hospital, Hebei Provincial Key Laboratory of Pulmonary Disease, 372 Shengli North Street, Shijiazhuang, Hebei, 050000, People's Republic of China.

Wei ZhaoDepartment of Prevention and Health Care, The Fourth Hospital of Hebei Medical University, 12 Jiankang Road, Shijiazhuang, Hebei, 050011, People's Republic of China. weizhao0121@hebmu.edu.cn.

Funding

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6 · The paper itself

Abstract

objectivesTo evaluate the effects of video-assisted thoracoscopic decortication (VATD) and enhanced recovery after surgery (ERAS) in patients with stage III tuberculous empyema.

methodsThe 360 participants were divided into four groups according to the treatment received: thoracotomy decortication (TD) + traditional recovery procedures (TRP), TD + ERAS, VATD + TRP, and VATD + ERAS. We evaluated the effects of the treatment modalities on various intraoperative and postoperative outcome measures. Multivariate analysis was then performed to identify risk factors associated with increased postoperative the length of hospital (LOS).

resultsThere were significant differences between the TD and VATS groups in terms of the duration of surgery, intraoperative blood loss, postoperative drainage, postoperative erythrocyte sedimentation rate (ESR), LOS, and pain levels. The use of ERAS also showed significant effects in certain outcome measures. There were no significant differences in the incidence of postoperative complications among the groups. The use of VATD and ERAS procedures, and preoperative antituberculosis therapy, was inversely associated with the LOS.

conclusionsImplementation of VATD and ERAS procedures in patients with stage III tuberculous empyema can significantly reduce the LOS and improve patient outcomes in a safe and effective manner.

Indexed as

Enhanced recovery after surgeryLength of stayOutcome measuresTuberculous empyemaVideo-assisted thoracic surgery

Identifiers

PMID40247419

DOI10.1186/s13741-025-00530-y

PMCPMC12004697

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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.