Pediatric Video Assisted Thoracoscopic Surgery (VATS) in Management of Empyema

Assiut University

Status: Enrolling

Conditions: Thoracic Empyema

Treatments: Procedure: open thoracotomy; Procedure: video assisted thoracoscopy (VATS)

Study type: Interventional

Funder types: Other

Identifiers

NCT06424457

04-2024-100227

Details and patient eligibility

About

Thoracic surgeons have developed a thoracoscopic procedure which is less intrusive method allows complete evacuation and washing of the debris from the pleural cavity. This approach may also have the benefit of less invasive maneuver, a shorter hospital stay and a decreased rate of postoperative complications.

The aim of this study is to evaluate the advantages and disadvantages of the video-assisted thoracoscopic surgery (VATS) approach in comparison with thoracotomy in management of empyema in pediatric patients.

Full description

comparison between VATS decortication and open thoracotomy in cases of pediatric empyema

Enrollment: 73 estimated patients

Sex: All

Ages: 1 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• pediatric patients 1 yrs. : ≤ 18 yrs.
• Patients with empyema due to pneumonia.
• Patients with empyema had lasted for fewer than 3 weeks.

Exclusion criteria

• Patients < 1 yrs. old.
• Patients with whom pleural empyema had lasted for more than 3 weeks.
• Patients with empyema had been caused by trauma.
• Patients whose parents refuse to be included in the study.
• Patients with empyema due to ruptured lung abscess.
• Patients with empyema due to chest wall abscess.
• Patients with empyema due to rib osteomyelitis.
• Patients with bronchopleural fistula.
• Patients with post-surgical empyema.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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73 participants in 2 patient groups

group A (VATS)

Experimental group

Description:

(group A) will receive VATS decortication as their definite management

Treatment:

Procedure: video assisted thoracoscopy (VATS)

group B (open thoracotomy)

Experimental group

Description:

(group B) will be assigned to open thoracotomy

Treatment:

Procedure: open thoracotomy