{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:53:53Z","timestamp":1740174833818,"version":"3.37.3"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Video-assisted thoracoscopic surgery (VATS) is considered useful for the treatment of parapneumonic empyema in children. However, thoracoscopic management of empyema due to esophageal leakage as an operative complication has not been well described in the literature.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We successfully decorticated severe empyema using uniport VATS in 2 children (a 2-year-old boy who suffered esophageal perforation after laparoscopic anti-reflux surgery, and a 7-month-old girl who had anastomotic leakage after thoracoscopic repair of esophageal atresia). In these patients, we noticed that pleural effusion rapidly progressed to empyema and caused respiratory insufficiency due to wide-range coverage by fibrotic pleural rind that was successfully decorticated under video-assisted vision from a mini-thoracotomy, followed by spontaneous healing of the leakage.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>We did not attempt to closely approach or try to repair the esophageal leakage. We believe that this is an important tip for these situations.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-02049-8","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T09:17:06Z","timestamp":1730107026000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Decortication with uniport video-assisted thoracoscopic surgery for empyema due to postoperative esophageal leakage: a report of two pediatric cases"],"prefix":"10.1186","volume":"10","author":[{"given":"Yudai","family":"Goto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiya","family":"Ogata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Shimizu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michitoshi","family":"Yamashita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeo","family":"Hasegawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Shio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3643-0021","authenticated-orcid":false,"given":"Hideaki","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"issue":"Suppl 1","key":"2049_CR1","doi-asserted-by":"publisher","first-page":"i1","DOI":"10.1136\/thx.2004.030676","volume":"60","author":"IM Balfour-Lynn","year":"2005","unstructured":"Balfour-Lynn IM, Abrahamson E, Cohen G, Hartley J, King S, Parikh D, Spencer D, Thomson AH, Urquhart D. Paediatric pleural diseases subcommittee of the BTS Standards of Care Committee. BTS guidelines for the management of pleural infection in children. Thorax. 2005;60(Suppl 1):i1-21.","journal-title":"Thorax"},{"key":"2049_CR2","doi-asserted-by":"publisher","first-page":"2101","DOI":"10.1016\/j.jpedsurg.2012.07.047","volume":"47","author":"S Islam","year":"2012","unstructured":"Islam S, Calkins CM, Goldin AB, Chen C, Downard CD, Huang EY, Cassidy L, Saito J, Blakely ML, Rangel SJ, Arca MJ, Abdullah F, St Peter SD. APSA Outcomes and Clinical Trials Committee, 2011\u20132012. The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee. J Pediatr Surg. 2012;47:2101\u201310.","journal-title":"J Pediatr Surg"},{"key":"2049_CR3","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1002\/ppul.20251","volume":"40","author":"A Jaff\u00e9","year":"2005","unstructured":"Jaff\u00e9 A, Balfour-Lynn IM. Management of empyema in children. Pediatr Pulmonol. 2005;40:148\u201356.","journal-title":"Pediatr Pulmonol"},{"key":"2049_CR4","first-page":"1128","volume":"28","author":"JA Kern","year":"1993","unstructured":"Kern JA, Rodgers BM. Thoracoscopy in the management of empyema in children. J Jediatr Surg. 1993;28:1128\u201332.","journal-title":"J Jediatr Surg"},{"key":"2049_CR5","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1016\/j.jpedsurg.2019.08.007","volume":"55","author":"R Santanakrishnan","year":"2020","unstructured":"Santanakrishnan R, Murali GS, Javaregowda D, Shankar G, Babu N, Jadhav V. Thoracoscopy in stage 3 empyema thoracis in children\u2014a safe and feasible alternative to thoracotomy. J Pediatr Surg. 2020;55:756\u201360.","journal-title":"J Pediatr Surg"},{"key":"2049_CR6","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1016\/B978-0-323-07255-7.00069-6","volume-title":"Pediatric surgery","author":"CM Harmon","year":"2012","unstructured":"Harmon CM, Coran AG. Congenital anomalies of the esophagus. In: Coran AG, Adzick NS, Krummel TM, Laberge JM, Shamberger R, editors. Pediatric surgery. 7th ed. Philadephia: Elsevier; 2012. p. 893\u2013918.","edition":"7"},{"key":"2049_CR7","doi-asserted-by":"publisher","first-page":"923","DOI":"10.1089\/lap.2020.0099","volume":"30","author":"J Godoy","year":"2020","unstructured":"Godoy J, Ferraris T, Guelfand M. Early management of esophageal leak in esophageal atresia: changing paradigms. J Laparoendosc Adv Surg Tech A. 2020;30:923\u20136.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2049_CR8","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1016\/j.jpedsurg.2005.11.047","volume":"41","author":"L Peng","year":"2006","unstructured":"Peng L, Quan X, Zongzheng J, Ya G, Xiansheng Z, Yitao D, Zhengtuan G, Baijun Z, Xinkui G, Xuanlin W. Videothoracoscopic drainage for esophageal perforation with mediastinitis in children. J Pediatr Surg. 2006;41:514\u20137.","journal-title":"J Pediatr Surg"},{"key":"2049_CR9","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1007\/s00383-009-2362-6","volume":"25","author":"JW Gander","year":"2009","unstructured":"Gander JW, Berdon WE, Cowles RA. Iatrogenic esophageal perforation in children. 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Ann R Coll Surg Engl. 2024;106:509\u201314.","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02049-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-02049-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02049-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T18:04:39Z","timestamp":1730138679000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-02049-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,28]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2049"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-02049-8","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,10,28]]},"assertion":[{"value":"19 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 October 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 October 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval was waived by the institutional review board because this study is a case report. Informed consents have been obtained from the parents of the cases in this report and recorded in medical charts in our institution.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consents for publication have been obtained from the parents of the cases in this report and recorded in medical charts in our institution.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors have no conflicts of interest directly relevant to the content of this article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"247"}}