Evidence map›Paper›PMID 41066326›Full record

ArticlePloS one2025

Comparative analysis of surgical outcomes: Video-assisted thoracoscopic surgery versus open thoracotomy in organizing thoracic empyema management.

Thanat Suwanarawat, Rachata Deesang, Sasikarn Tawanseree, Sikkawat Watcharasoonthonkit, Somcharoen Saeteng, Sophon Siwachat, Apichat Tantraworasin

Abstract readComparative Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Thanat SuwanarawatFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Rachata DeesangFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Sasikarn TawansereeFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Sikkawat WatcharasoonthonkitFaculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Somcharoen SaetengDepartment of Surgery, Faculty of Medicine and Clinical Surgical Research Center, Chiang Mai University, Chiang Mai, Thailand.
Sophon SiwachatDepartment of Surgery, Faculty of Medicine and Clinical Surgical Research Center, Chiang Mai University, Chiang Mai, Thailand.
Apichat TantraworasinDepartment of Surgery, Faculty of Medicine and Clinical Surgical Research Center, Chiang Mai University, Chiang Mai, Thailand.ORCID https://orcid.org/0000-0002-7913-2799

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical intervention is essential for managing organizing thoracic empyema, but the efficacy of Video-Assisted Thoracic Surgery (VATS) in this disease stage remains debated. This study aims to compare the surgical outcomes of VATS versus open thoracotomy (OT) in the management of organizing thoracic empyema. MATERIALS AND

methodsThis retrospective cohort study included 393 patients who underwent surgery for organizing thoracic empyema at Maharaj Nakorn Chiang Mai Hospital between January 1, 2012, and December 31, 2022, and were divided into VATS and OT groups. The primary outcomes were lung full expansion before discharge and at the 2-week follow-up. Secondary outcomes included intraoperative blood loss, duration of intensive care unit (ICU) stay, and postoperative pain scores. Data analysis was performed using multivariable regression analysis and propensity score matching.

resultsIn the propensity-matched cohort (212 patients), patient characteristics were balanced between the two groups. VATS was associated with a higher likelihood of full lung expansion at discharge (risk ratio: 1.21; 95% CI: 1.01 to 1.45compared to OT. There were no significant differences in postoperative pain scores, or full lung expansion at 2 weeks after discharge between the two groups. However, the VATS group showed a trend toward less intraoperative blood loss (mean difference: -34.20; 95%CI: -162.89 to 94.49).

conclusionsVATS offers advantages over OT in organizing thoracic empyema surgery, particularly in terms of improved lung expansion at discharge. Further studies with larger sample sizes are warranted to support these findings.

Indexed as

Empyema, PleuralThoracic Surgery, Video-AssistedThoracotomyAdultAgedFemaleHumansLength of StayMaleMiddle AgedPropensity ScoreRetrospective StudiesTreatment Outcome

Identifiers

PMID41066326
PMCPMC12510550

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