ArticleIJTLD open2026
A comparative study of uniportal video-assisted thoracic surgery versus thoracotomy in the treatment of TB empyema.
Article in IJTLD open, 2026. 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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Abstract
backgroundChronic TB empyema is a serious complication of TB that often requires surgery because drug penetration into fibrotic pleural tissue is poor. We compared uniportal video-assisted thoracic surgery (VATS) and thoracotomy for pleural decortication.
methodsWe retrospectively analysed 112 patients with chronic TB empyema who underwent surgical treatment between 2020 and 2024. Thoracic morphometric changes were assessed using pre- and postoperative computed tomography, and factors associated with postoperative thoracic expansion were explored.
resultsOf the 112 patients, 65 underwent thoracotomy and 47 uniportal VATS. The overall excellent/good outcome rate was 91.9%, based on postoperative lung re-expansion, residual empyema cavity and residual fibrous pleural plaque. Compared with thoracotomy, uniportal VATS was associated with less intraoperative blood loss (151.8 ± 127 vs. 278 ± 231 mL,
conclusionIn this retrospective single-centre cohort, uniportal VATS was associated with more favourable perioperative outcomes than thoracotomy, with comparable short-term radiographic recovery.
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