Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction: empyema is the infection of the pleural cavity from intra or extrathoracic foci; there are three phases in its pathophysiology and are handled differently. The most important objectives are antibiotics with drainage of the infected collection. In phase II there is a discrepancy of surgical cleaning indications; thoracotomy is reserved for phase III. Materials and methods: we took 66 patients who underwent pleural empyema in 2011 and 2012 at the Carlos Andrade Marin Hospital. Results: the most performed procedure was thoracotomy, especially in phase III; however the ones with least invasion had more presence in phase II. It must be considered that open procedures and with video are applied in both phases. Conclusions: we demonstrate that minimally invasive surgery is a safe procedure in phase II empyema and should be considered as part of the initial management of phase III empyema, because it represents shorter hospital stay, and less operating time.
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