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The Pediatric Forum |

Video-Assisted Thorascopic Surgery vs Chest Drain With Fibrinolytics for the Treatment of Pleural Empyema in Children: A Systematic Review of Randomized Controlled Trials

Sanjay Mahant, MD, FRCPC; Eyal Cohen, MD, MSc, FRCPC; Michael Weinstein, MD, FRCPC; Anupma Wadhwa, MD, MEd, FRCPC
Arch Pediatr Adolesc Med. 2010;164(2):201-203. doi:10.1001/archpediatrics.2009.271.
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There is marked variability in treatment of pleural empyema in children1,2 and a debate over whether video-assisted thoracoscopic surgery (VATS) is more effective than chest drain with fibrinolytics. A meta-analysis of observational studies and subsequent large observational studies concluded that surgical management, in particular VATS, is most effective.13 We conducted a systematic review of randomized controlled trials (RCTs) to compare the effectiveness of these treatments for pleural empyema in children.

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