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Ann Thorac Surg 1995;59:1166-1168
© 1995 The Society of Thoracic Surgeons

Thoracoscopic Debridement of Loculated Empyema Thoracis in Children

Division of Pediatric Surgery, Department of Surgery, St. Louis University School of Medicine, St. Louis, Missouri

Accepted for publication January 23, 1995.

The appropriate management of multiloculated empyema thoracis remains controversial. During a 7-month period, we have managed multiloculated empyema with early thoracoscopic debridement in three consecutive pediatric patients. Chest tubes were removed 7 ± 1 (mean ± standard deviation) days after thoracoscopy and discharge from hospital was on postoperative day 8 ± 1. We suggest that early thoracoscopic debridement of multiloculated empyema thoracis in children is safe and efficacious.

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