Tuberculous empyema
Conditions
Interventions
Control group:Conventional open thoracotomy and small-incision thoracoscopic-assisted surgery
Experimental group:Thoracoscopic minimally invasive surgery based on 3D visualization
Sponsors
Beijing Chest Hospital, Capital Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 70 years, voluntarily participating in the study and signing the informed consent form. 2. Clinically diagnosed with tuberculous empyema. 3. Eligible for thoracoscopic or open thoracic surgery. 4. In the fibrinous stage of tuberculous pleuritis: pleural effusion is compartmentalized or encapsulated, and/or accompanied by thickening of the parietal pleura. 5. In the chronic stage of tuberculous empyema: localized encapsulated empyema with clearly defined boundaries from the lung tissue. 6. No active pulmonary tuberculosis lesions present.
Exclusion criteria
Exclusion criteria: 1. Patients with severe hepatic or renal dysfunction, or a history of psychiatric disorders or epilepsy. 2. Pregnant or breastfeeding women. 3. Patients with active pulmonary tuberculosis. 4. Patients with extensive extrapulmonary tuberculosis. 5. Patients with serious cardiovascular conditions, such as coronary heart disease, or respiratory diseases that severely affect cardiopulmonary function, such as asthma or severe emphysema. 6. Patients with concomitant bronchopleural fistula or empyema with external drainage.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cure rate;Postoperative quality of life;Minimally invasive surgery rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Operation time;Intraoperative blood loss;Duration of postoperative drainage;Length of hospital stay;Postoperative pain score; | — |
Countries
China
Contacts
Public ContactHan Yi
Beijing Chest Hospital, Capital Medical University
Outcome results
None listed