{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:29:43Z","timestamp":1747182583765,"version":"3.40.5"},"reference-count":39,"publisher":"Wiley","issue":"20","license":[{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Oncology patients carry a substantial risk of developing pleural empyema. Here, we report the preliminary results of our early video\u2010assisted thoracoscopic surgery (VATS) lavage strategy in cases of empyema occurring in patients undergoing (radio\u2010) chemotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective case\u2013control study comparing early VATS lavage (test group, current therapy since January 2018, <jats:italic>n<\/jats:italic>\u00a0=\u200946) versus VATS pleurectomy (historical control; before January 2018, <jats:italic>n<\/jats:italic>\u00a0=\u200946).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five patients in the control group and one in the test group developed recurrence of empyema within 30\u2009days. Complications were more severe and more frequently observed in the historical control group than in the test group (30\/46 vs. 12\/46 CI: 5%\u201395%, <jats:italic>p<\/jats:italic>\u00a0=\u2009&lt;\u20090.05). Early VATS lavage saved operating time, allowed a shorter ICU stay (2.6\u2009days CI: 5%\u201395% vs. 5.1\u2009days CI: 5%\u201395%, <jats:italic>p<\/jats:italic>\u00a0=\u2009ns) and an earlier hospital discharge (6.1\u2009days CI: 5%\u201395% vs. 13.5\u2009days CI: 5%\u201395%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.05). Moreover, radio and\/or chemotherapy could be reinitiated earlier (15\u2009\u00b1\u200920.5\u2009days CI: 5%\u201395% vs. 40\u2009\u00b1\u200912\u2009days CI: 5%\u201395%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this retrospective cohort study, early VATS lavage was found to have a beneficial effect especially on hospital stay and enabling an earlier restart of radio\u2010 and\/or chemotherapy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.14109","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T07:25:09Z","timestamp":1629185109000},"page":"2710-2718","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective case\u2013control study on the outcomes of early minimally invasive pleural lavage for pleural empyema in oncology patients"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0554-5865","authenticated-orcid":false,"given":"Paolo Nicola Camillo","family":"Girotti","sequence":"first","affiliation":[{"name":"Department of General\u2010Visceral and Thoracic Surgery Landeskrankenhaus Feldkirch  Feldkirch Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Tschann","sequence":"additional","affiliation":[{"name":"Department of General\u2010Visceral and Thoracic Surgery Landeskrankenhaus Feldkirch  Feldkirch Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Di Stefano","sequence":"additional","affiliation":[{"name":"Department of General\u2010Visceral and Thoracic Surgery Landeskrankenhaus Feldkirch  Feldkirch Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"M\u00f6schel","sequence":"additional","affiliation":[{"name":"Department of General\u2010Visceral and Thoracic Surgery Landeskrankenhaus Feldkirch  Feldkirch Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaus","family":"H\u00fcbl","sequence":"additional","affiliation":[{"name":"Department of General\u2010Visceral and Thoracic Surgery Landeskrankenhaus Feldkirch  Feldkirch Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingmar","family":"K\u00f6nigsrainer","sequence":"additional","affiliation":[{"name":"Department of General\u2010Visceral and Thoracic Surgery Landeskrankenhaus Feldkirch  Feldkirch Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/89.4.285"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.160.5.9903002"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.99.5.1162"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e3281864691"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1269831"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00601-8"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(91)90443-T"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53371.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.09.038"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2008\/975312"},{"key":"e_1_2_6_12_1","first-page":"62","article-title":"Management 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