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Korean J Thorac Cardiovasc Surg 2002; 35(8): 630-633

Published online August 5, 2002

Copyright © Journal of Chest Surgery.

The Effect of Less Invasive Methods with VATS in the Management of Descending Necrotizing Mediastinitis

Ho Ki Min*, Young Mog Shim*, Jhin Gook Kim*

Department of thoracic & cardiovascular surgery, Sungkyunkwan university school of medicine, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: 1. Funnel chest 2. Marfan`s syndrome

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Korean J Thorac Cardiovasc Surg 2002; 35(8): 630-633

Published online August 5, 2002

Copyright © Journal of Chest Surgery.

The Effect of Less Invasive Methods with VATS in the Management of Descending Necrotizing Mediastinitis

Ho Ki Min*, Young Mog Shim*, Jhin Gook Kim*

Department of thoracic & cardiovascular surgery, Sungkyunkwan university school of medicine, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.

Keywords: 1. Funnel chest 2. Marfan`s syndrome

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