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Modified Clagett procedure for acute pleural empyema

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Abstract

Pleural empyema often requires surgical intervention; however, surgical invasiveness should be minimized. We utilized the modified Claget procedure as an alternative to thoracoplasty for acute pleural empyema with a dead space. The procedure was performed as follows: first, 500 mg of kanamycin and 500,000 units of polymyxin sulfate dissolved in 10–100 ml saline was instilled intrapleurally via tube thoracostomy. The chest tube was clamped overnight and then removed. The modified Clagett procedure might be effective for acute pleural empyema with a dead space without pulmonary or bronchopleural fistula. We report our successful experience of performing modified Clagett procedure for pleural empyema with a dead space, through a detailed case presentation.

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Authors and Affiliations

  1. Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8677, Japan

    Takahiro Yamanaka, Yuichi Sakairi, Hajime Tamura, Taisuke Kaiho, Atsushi Hata, Kazuhisa Tanaka, Mitsuru Yoshino, Hidemi Suzuki & Ichiro Yoshino

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  1. Takahiro Yamanaka
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  2. Yuichi Sakairi
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  3. Hajime Tamura
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  4. Taisuke Kaiho
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  5. Atsushi Hata
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  6. Kazuhisa Tanaka
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  7. Mitsuru Yoshino
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  8. Hidemi Suzuki
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  9. Ichiro Yoshino
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Corresponding author

Correspondence to Yuichi Sakairi.

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We have no conflicts of interest to declare.

Ethical approval

The ethics committee of Chiba University Graduate School of Medicine approved this research (No. M10165) on Jan. 6, 2022.

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Yamanaka, T., Sakairi, Y., Tamura, H. et al. Modified Clagett procedure for acute pleural empyema. Surg Today 53, 743–747 (2023). https://doi.org/10.1007/s00595-022-02593-6

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  • DOI: https://doi.org/10.1007/s00595-022-02593-6

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