{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:29:35Z","timestamp":1786649375765,"version":"build-2736575974"},"reference-count":16,"publisher":"International Union Against Tuberculosis and Lung Disease","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJTLD Open"],"accepted":{"date-parts":[[2026,4,21]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Chronic TB empyema is a serious complication of TB that often requires surgery because drug penetration into fibrotic pleural tissue is poor. We compared uniportal video-assisted thoracic surgery (VATS) and thoracotomy for pleural decortication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We retrospectively analysed 112 patients with chronic TB empyema who underwent surgical treatment between 2020 and 2024. Thoracic morphometric changes were assessed using pre- and postoperative computed tomography, and factors associated with postoperative thoracic expansion were explored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Of the 112 patients, 65 underwent thoracotomy and 47 uniportal VATS. The overall excellent\/good outcome rate was 91.9%, based on postoperative lung re-expansion, residual empyema cavity and residual fibrous pleural plaque. Compared with thoracotomy, uniportal VATS was associated with less intraoperative blood loss (151.8 \u00b1 127 vs. 278 \u00b1 231 mL,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001) and a shorter postoperative hospital stay (8.2 \u00b1 3.7 vs. 9.9 \u00b1 3.1 days,\n                      <jats:italic>P<\/jats:italic>\n                      = 0.002). Both groups showed significant postoperative improvement in thoracic morphometric measurements. Older age was associated with poorer postoperative thoracic expansion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>In this retrospective single-centre cohort, uniportal VATS was associated with more favourable perioperative outcomes than thoracotomy, with comparable short-term radiographic recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5588\/ijtldopen.26.0017","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:53:17Z","timestamp":1786647197000},"page":"488-493","source":"Crossref","is-referenced-by-count":0,"title":["A comparative study of uniportal video-assisted thoracic surgery versus thoracotomy in the treatment of TB empyema"],"prefix":"10.5588","volume":"3","author":[{"given":"H.","family":"Liu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Long","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Qiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3554","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"issue":"4 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the first case from the Indian subcontinent","volume":"18","author":"Dantis","year":"2021","journal-title":"Kardiochir Torakochirurgia Pol"},{"key":"2026081311531344000_3.8.488.12","first-page":"27","article-title":"Clinical effect of uniportal Thoracoscopic decortication for stage III Tuberculous empyema","volume":"8","author":"Wang","year":"2023","journal-title":"Electron J Emerg Infect Dis"},{"issue":"5","key":"2026081311531344000_3.8.488.13","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1093\/icvts\/ivac011","article-title":"A nomogram to predict residual cavity formation after video-assisted thoracoscopic decortication in chronic tuberculous empyema","volume":"34","author":"Zhu","year":"2022","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"1","key":"2026081311531344000_3.8.488.14","doi-asserted-by":"crossref","first-page":"9658","DOI":"10.1038\/s41598-023-36420-w","article-title":"Open decortication for patients presenting with stage III tuberculous 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