Resumo

MEDEROS CURBELO, Orestes Noel et al. Pulmonary decortication in the pleural empyema. Rev Cubana Cir [online]. 2008, vol.47, n.3, pp. 0-0. ISSN 1561-2945.

INTRODUCTION. A case series descriptive, retrospective and longitudinal study that included 69 patients attended at «Manuel Fajardo» University Hospital from 1995 to 2007 was undertaken. These patients required pulmonary decortication to treat a pleural empyema. METHODS. The clinical histories of 29 patients who underwent pulmonary decortication and were taken as a sample for the investigation were selected. RESULTS. Ten of the 29 patients were in fibrinopurulent stage and 19 in the organized (13 patients were in the early organized stage, which coincided with the subacute period of the disease, and 6 were in the late that corresponded to the conicity period of the disease). Males were the most affected (ratio 8:1). There was air leak in all patients with different duration according to the time of decortication (it lasted more in the classic and in the late). A few complications were observed in early decortication. In the classic and late decortications, there were 4 septic respiratory complications and a patient in late organized stage that had undergone late decortication, pachypleurectomy and lung resection died. CONCLUSIONS. Early decortication is a safe therapeutical option with low morbidity that prevents the complications appearing in the classic and late decortications.

Palavras-chave : Pulmonary decortication; pleural empyema.

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