Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods
Abstract Objectives To evaluate the effects of video-assisted thoracoscopic decortication (VATD) and enhanced recovery after surgery (ERAS) in patients with stage III tuberculous empyema. Methods The 360 participants were divided into four groups according to the treatment received: thoracotomy deco...
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BMC
2025-04-01
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| Series: | Perioperative Medicine |
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| Online Access: | https://doi.org/10.1186/s13741-025-00530-y |
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| author | Jiakun Liu Yanchao Luan Qingsong Han Wei Zhao |
| author_facet | Jiakun Liu Yanchao Luan Qingsong Han Wei Zhao |
| author_sort | Jiakun Liu |
| collection | DOAJ |
| description | Abstract Objectives To evaluate the effects of video-assisted thoracoscopic decortication (VATD) and enhanced recovery after surgery (ERAS) in patients with stage III tuberculous empyema. Methods The 360 participants were divided into four groups according to the treatment received: thoracotomy decortication (TD) + traditional recovery procedures (TRP), TD + ERAS, VATD + TRP, and VATD + ERAS. We evaluated the effects of the treatment modalities on various intraoperative and postoperative outcome measures. Multivariate analysis was then performed to identify risk factors associated with increased postoperative the length of hospital (LOS). Results There were significant differences between the TD and VATS groups in terms of the duration of surgery, intraoperative blood loss, postoperative drainage, postoperative erythrocyte sedimentation rate (ESR), LOS, and pain levels. The use of ERAS also showed significant effects in certain outcome measures. There were no significant differences in the incidence of postoperative complications among the groups. The use of VATD and ERAS procedures, and preoperative antituberculosis therapy, was inversely associated with the LOS. Conclusions Implementation of VATD and ERAS procedures in patients with stage III tuberculous empyema can significantly reduce the LOS and improve patient outcomes in a safe and effective manner. |
| format | Article |
| id | doaj-art-653a639dcde241cd8f2f00d5d9382df2 |
| institution | OA Journals |
| issn | 2047-0525 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Perioperative Medicine |
| spelling | doaj-art-653a639dcde241cd8f2f00d5d9382df22025-08-20T02:28:10ZengBMCPerioperative Medicine2047-05252025-04-011411910.1186/s13741-025-00530-yMeasures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methodsJiakun Liu0Yanchao Luan1Qingsong Han2Wei Zhao3Department of Thoracic Surgery, Hebei Chest Hospital, Hebei Provincial Key Laboratory of Pulmonary DiseaseDepartment of Thoracic Surgery, Hebei Chest Hospital, Hebei Provincial Key Laboratory of Pulmonary DiseaseDepartment of Thoracic Surgery, Hebei Chest Hospital, Hebei Provincial Key Laboratory of Pulmonary DiseaseDepartment of Prevention and Health Care, The Fourth Hospital of Hebei Medical UniversityAbstract Objectives To evaluate the effects of video-assisted thoracoscopic decortication (VATD) and enhanced recovery after surgery (ERAS) in patients with stage III tuberculous empyema. Methods The 360 participants were divided into four groups according to the treatment received: thoracotomy decortication (TD) + traditional recovery procedures (TRP), TD + ERAS, VATD + TRP, and VATD + ERAS. We evaluated the effects of the treatment modalities on various intraoperative and postoperative outcome measures. Multivariate analysis was then performed to identify risk factors associated with increased postoperative the length of hospital (LOS). Results There were significant differences between the TD and VATS groups in terms of the duration of surgery, intraoperative blood loss, postoperative drainage, postoperative erythrocyte sedimentation rate (ESR), LOS, and pain levels. The use of ERAS also showed significant effects in certain outcome measures. There were no significant differences in the incidence of postoperative complications among the groups. The use of VATD and ERAS procedures, and preoperative antituberculosis therapy, was inversely associated with the LOS. Conclusions Implementation of VATD and ERAS procedures in patients with stage III tuberculous empyema can significantly reduce the LOS and improve patient outcomes in a safe and effective manner.https://doi.org/10.1186/s13741-025-00530-yEnhanced recovery after surgeryLength of stayOutcome measuresTuberculous empyemaVideo-assisted thoracic surgery |
| spellingShingle | Jiakun Liu Yanchao Luan Qingsong Han Wei Zhao Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods Perioperative Medicine Enhanced recovery after surgery Length of stay Outcome measures Tuberculous empyema Video-assisted thoracic surgery |
| title | Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods |
| title_full | Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods |
| title_fullStr | Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods |
| title_full_unstemmed | Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods |
| title_short | Measures to accelerate recovery from stage III tuberculous empyema: tuberculous empyema surgical and recovery methods |
| title_sort | measures to accelerate recovery from stage iii tuberculous empyema tuberculous empyema surgical and recovery methods |
| topic | Enhanced recovery after surgery Length of stay Outcome measures Tuberculous empyema Video-assisted thoracic surgery |
| url | https://doi.org/10.1186/s13741-025-00530-y |
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