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Change in pulmonary function following empyemectomy and decortication in tuberculous and non-tuberculous chronic empyema thoracis

 Sung Sil Choi  ;  Dae Joon Kim  ;  Kyung Young Chung  ;  Kil Dong Kim 
 YONSEI MEDICAL JOURNAL, Vol.45(4) : 643-648, 2004 
Journal Title
Issue Date
Adult ; Chronic Disease ; Debridement ; Empyema, Pleural/physiopathology ; Empyema, Pleural/surgery ; Empyema, Tuberculous/physiopathology* ; Empyema, Tuberculous/surgery* ; Female ; Forced Expiratory Volume ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Vital Capacity
Chronic pleural empyema ; empyemectomy ; tuberculous ; lung function
Chronic empyema thoracis results from various etiologies. Improvement in pulmonary function after empyemectomy and decortication has proved difficult to predict when the etiology of chronic empyema thoracis is tuberculosis. The purpose of this study was to confirm the changes in pulmonary function according to the etiology after an operation. Sixty-five patients were classified into two groups according to their etiology: Group A (tuberculous) and Group B (non-tuberculous), and they were retrospectively evaluated with regard to their forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), percentage of predicted normal value of FEV1 (% FEV1) and FVC (%FVC). Empyemectomy and decortication was performed for all the patients and the two groups were similar in age, gender and preoperative spirometric parameters. In Group A (n=41), the pre- and postoperative mean values were 2.31L and 2.88L in FEV1, 65.8% and 80.5% in %FEV1, 2.62L and 2.55 L in VC, 61.9% and 71.8% in %VC, respectively. In Group B (n=24), the pre- and postoperative mean values were 2.13L and 2.49L in FEV1, 66.4% and 73.8% in %FEV1, 2.55L and 2.95 L in FVC, 64.9% and 71.8% in %FVC, respectively. All the spirometric parameters improved significantly in both groups compared to their preoperative values. However, no significance was shown in the rate of increase of the spirometric parameters between the two groups. In conclusion, improvement of lung function is expected after empyemectomy and decortication, regardless of the etiology of the chronic empyema thoracis.
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1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kil Dong(김길동)
Kim, Dae Joon(김대준)
Chung, Kyung Young(정경영)
Choi, Sung Sil(최성실)
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