{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:46:23Z","timestamp":1791402383183,"version":"4.3.3"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac cardiovasc Surg"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:p>\n            Background\u2003In patients with parapneumonic empyema, decortication is usually preferred to ensure functional lung re-expansion. However, there could be patients exhibiting incomplete postoperative lung expansion and inadequate drainage despite decortication. Therefore, we evaluated factors affecting postoperative lung expansion in patients undergoing decortication.<\/jats:p><jats:p>\n            Methods\u2003A total of 221 patients with pyogenic empyema who underwent video-assisted thoracoscopic surgery (VATS) between January and October 2016 in our hospital were reviewed in terms of surgical success. The following factors were evaluated: age; the time between identification of a localized effusion and surgical referral; chest tube drainage durations; any underlying morbidity preoperative blood culture data; and the thickness of the visceral pleura.<\/jats:p><jats:p>\n            Results\u2003Several factors that significantly prolonged the postoperative time to lung expansion were evident in patients with diabetes mellitus (DM) and bacteremia; postoperative chest tube drainage was significantly longer in those with DM (p\u2009=\u20090.009) and bacteremia (p\u2009=\u20090.01); and postoperative hospitalization time was significantly longer in patients with bacteremia (p\u2009=\u20090.01). The thickness of the visceral pleura was strongly correlated with postoperative chest tube drainage duration and postoperative hospitalization time (Pearson correlation coefficient, r\u2009=\u20090.245, p\u2009=\u20090.00).<\/jats:p><jats:p>\n            Conclusions\u2003In patients with DM, bacteremia, or thickened pleura, the time to lung expansion after operation was longer. Therefore, stricter pre- and post-operative control of blood-sugar levels and adequate antibiotics are required to facilitate postoperative lung re-expansion. In patients with thickened pleurae, prolonged chest tube placement is unavoidable.<\/jats:p>","DOI":"10.1055\/s-0038-1635085","type":"journal-article","created":{"date-parts":[[2018,4,1]],"date-time":"2018-04-01T18:33:35Z","timestamp":1522607615000},"page":"697-700","source":"Crossref","is-referenced-by-count":5,"title":["Factors Affecting Postoperative Lung Expansion in Patients with Pyogenic Empyema"],"prefix":"10.1055","volume":"66","author":[{"given":"Hyo","family":"Ahn","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Medical Research Institution, Busan, the Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeong","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Medical Research Institution, Busan, the Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoseok","family":"I.","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Medical Research Institution, Busan, the Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seunghwan","family":"Song","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Medical Research Institution, Busan, the Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung","family":"Eom","sequence":"first","affiliation":[{"name":"Division of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University Hospital, Medical Research Institution, Busan, the Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeongha","family":"Mok","sequence":"first","affiliation":[{"name":"Division of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University Hospital, Medical Research Institution, Busan, the Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Medical Research Institution, Busan, the Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2018,4,1]]},"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1635085.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T18:37:39Z","timestamp":1544639859000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1635085"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,1]]},"references-count":0,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2018,12,12]]},"published-print":{"date-parts":[[2018,11]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1635085","relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,1]]}}}