Thoracostomy in the Surgical Treatment of Patients with Pleural Empyema and Upper Gastrointestinal Fistulas
D. V. Zolotarev,
S. S. Petrikov,
P. A. Yartsev,
E. B. Nikolaeva,
E. V. Tatarinova,
F. A. Chernousov,
S. A. Khachatryan https://doi.org/10.23934/2223-9022-2026-15-1-136-145
Abstract
Pleural empyema with upper gastrointestinal fistulas is a rare pathology in thoracic surgery. A comprehensive treatment approach includes not only debridement of the purulent lesion in the pleural cavity, but also interventions to promote fistula healing. The method for fistula repair and healing is selected individually, based on the specific clinical situation and etiology. Thoracostomy is an effective treatment method that allows for adequate pleural cavity debridement and, when combined with local negative pressure, creates conditions conducive to fistula healing.
Keywords
pleural empyema,
esophageal pleural fistula,
gastropleural fistula,
thoracostomy,
vacuum-assisted closure therapy (VACt)
Supporting agencies: The study has no sponsorship
About the Authors
D. V. Zolotarev
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Dmitry V. Zolotarev - Candidate of Medical Sciences, Senior Researcher, Department of Emergency Surgery, Endoscopy, and Intensive Care; Thoracic Surgeon, Department of Thoracic Surgery, N.V. Sklifosovsky RIEM.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
S. S. Petrikov
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Sergey S. Petrikov - Academician of the Russian Academy of Sciences, Professor, Doctor of Medical Sciences, Director.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
P. A. Yartsev
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Petr A. Yartsev - Doctor of Medical Sciences, Professor, Head, Department of Emergency Surgery, Endoscopy, and Intensive Care.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
E. B. Nikolaeva
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Elena B. Nikolaeva - Candidate of Medical Sciences, Senior Researcher, Department of Emergency Surgery, Endoscopy, and Intensive Care; Thoracic Surgeon, Department of Thoracic Surgery.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
E. V. Tatarinova
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Ekaterina V. Tatarinova - Candidate of Medical Sciences, Senior Researcher, Department of Emergency Surgery, Endoscopy, and Intensive Care; Thoracic Surgeon, Department of Thoracic Surgery.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
F. A. Chernousov
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Fedor A. Chernousov - Doctor of Medical Sciences, Professor, Chief Researcher, Department of Emergency Surgery, Endoscopy, and Intensive Care, Surgeon, Thoracic Surgeon, Department of Thoracic Surgery.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
S. A. Khachatryan
N.V. Sklifosovsky Research Institute for Emergency Medicine
Russian Federation
Russian Federation
Suren A. Khachatryan - Thoracic Surgeon, Department of Thoracic Surgery.
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
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Review
For citations:
Zolotarev D.V., Petrikov S.S., Yartsev P.A., Nikolaeva E.B., Tatarinova E.V., Chernousov F.A., Khachatryan S.A. Thoracostomy in the Surgical Treatment of Patients with Pleural Empyema and Upper Gastrointestinal Fistulas. Russian Sklifosovsky Journal "Emergency Medical Care". 2026;15(1):136-145. (In Russ.) https://doi.org/10.23934/2223-9022-2026-15-1-136-145
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