Korean J Thorac Cardiovasc Surg.
2002 Aug;35(8):630-633.
The Effect of Less Invasive Methods with VATS in the Management of Descending Necrotizing Mediastinitis
- Affiliations
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- 1Department of thoracic and cardiovascular surgery, Sungkyunkwan university school of medicine, Seoul, Korea. jkim@smc.samsung.co.kr
Abstract
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Although the incidence of descending necrotizing mediastinitis(DNM) is low, this is a serious disease because it"s mortality have been reported to be as high as 40~50%. Currently, many authors have emphasized aggressive surgical approaches rather than medical treatment alone. We report good results in 2 DNM patients treated by less invasive approach with video-assisted thoracoscopic surgery. Less invasive methods with video-assisted thoracoscopic surgery can reduce hospital stay and morbidity if effective drainage can be achieved in selected DNM patients.