TY - JOUR T1 - Video-assisted thorascopic surgery vs chest drain with fibrinolytics for the treatment of pleural empyema in children: A systematic review of randomized controlled trials AU - Mahant S, Cohen E, Weinstein M, Wadhwa A Y1 - 2010/02/01 N1 - 10.1001/archpediatrics.2009.271 JO - Archives of Pediatrics & Adolescent Medicine SP - 201 EP - 203 VL - 164 IS - 2 N2 - 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.1- 3 We conducted a systematic review of randomized controlled trials (RCTs) to compare the effectiveness of these treatments for pleural empyema in children. SN - 1072-4710 M3 - doi: 10.1001/archpediatrics.2009.271 UR - http://dx.doi.org/10.1001/archpediatrics.2009.271 ER -