A.I. BURNASYAN FMBC CLINICAL BULLETIN

ISSN 2782-6430 (print)

State Research Center −Burnasyan Federal Medical Biophysical
Center of Federal Medical Biological Agency

The journal is published in Russian.
Format – A4.
The periodicity of the journal is 4 times a year.

Issue №1, 2026

A.I. Burnasyan  FMBC clinical bulletin. 2026 № 1

A.V. Nikulin1, A.I. Romanikhin2, E.G. Gandybina1, S.K. Gogoleva1, S.S. Karpina1, T.V. Khorobrykh1

Surgical Tactics for the Treatment of a Type-Associated Pleural Empyema

1I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russia , Moscow, Russian Federation
2City Clinical Hospital named after I.V.Davydovsky of the Department of Health of the city of Moscow,  Russian Federation

Contact person: Nikulin Andrey Vladimirovich: nikulin5642@gmail.com

 

Abstract
Purpose: according to literature data, mortality in pleural empyema reaches 28 %. Issues related to the treatment of pleural empyema are widely covered in the literature, but there are not many publications on the treatment of covid-associated pleural empyema. This article is devoted to the treatment of covid-associated pleural empyema.

Keywords: bronchopleural fistula, classification of pleural empyema, covid-associated pleural empyema, pleural empyema

For citation: Nikulin A.V., Romanikhin A.I., Gandybina E.G., Gogoleva S.K, Karpina S.S., Khorobrykh T.V. Surgical Tactics for the Treatment of a Type-Associated Pleural Empyema. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2026.1:58-62. (In Russian) DOI: 10.33266/2782-6430-2026-1-58-62

 

REFERENCES

  1. Nikulin A.V. Lecheniye Empiyemy Plevry, Oslozhnennoy Bronkhoplevral’nym Svishchom s Primeneniyem Fibrinovogo Kleya = Treatment of Pleural Empyema Complicated by Bronchopleural Fistula with the Use of Fibrin Glue. Candidate’s Thesis (Med.). Specialization 3.1.9. «Surgery». Moscow Publ., 2023. 148 p. (In Russ.).
  2. Das N.N., Lakhotia S., Verma A. Surgical Outcome of Empyema Thoracis Patients with Special Correlation to Pre-Operative Contrast-Enhanced Computerized Tomography (CECT) Thorax Morphometry. Indian Journal of Thoracic and Cardiovascular Surgery. 2021;37;2:164-174. https://doi.org/10.1007/s12055-020-01053-5
  3. Yarlagadda K., Mi K., Sendil S., et al. A 31-Year-Old Man with COVID-19-Associated Empyema and Lupus Anticoagulant. American Journal of Case Reports. 2020;21:1-5. https://doi.org/10.12659/AJCR.926623
  4. Shah S., Mandal P., Chamlagain R., et al. Bronchopleural Fistula and Bilateral Pneumothorax in a Patient with COVID‐19. Clinical Case Reports. 2021;9;11:1-3. https://doi.org/10.1002/ccr3.5149
  5. Ayad S., Gergis K., Elkattawy S., et al. Loculated Empyema and SARS-CoV-2 Infection: a Report of Two Cases and Review of the Literature. European Journal of Case Reports in Internal Medicine. 2021:14. https://doi.org/10.12890/2021_002706
  6. Silalahi T.D.A., Suwita C. S. Culture-Negative Pleural Empyema after Coronavirus Disease-19 Resolution – a Case Report. Respiratory Medicine Case Reports. 2021;34:1-3. https://doi.org/10.1016/j.rmcr.2021.101473
  7. Placik D.A., Taylor W.L., Wnuk N.M. Bronchopleural Fistula Development in the Setting of Novel Therapies for Acute Respiratory Distress Syndrome in SARS-CoV-2 Pneumonia. Radiology Case Reports. 2020;15;11:2378-2381. https://doi.org/10.1016/j.radcr.2020.09.026
  8. Kamath S.D., Sharma B., Laik J. K., et al. Case Report of a Saga of Post-COVID-19 Complications. Cureus. 2021:1-10. https://doi.org/10.7759/cureus.16247
  9. Abbasi R., Javanmardi F.S., Mokhtari A., et al. Management of Pleural Empyema in a 12-Year-Old Obese Patient with COVID-19: a Pediatric Case Report. BMC Pediatrics. 2021;21;1:531. https://doi.org/10.1186/s12887-021-03007-1
  10. Divisi D., Zaccagna G., Angeletti C., et al. Pleural Empyema Associated with Alveolar‐Pleural Fistulas in Severe Acute Respiratory Syndrome Coronavirus 2. Clinical Case Reports. 2021;9;6:1-7. https://doi.org/10.1002/ccr3.4262
  11. Tessitore A., Patella M., Giuliani M., et al. Surgical Treatment of Pleural Empyema in Coronavirus Disease 19 Patients: the Southern Switzerland Experience. Interactive CardioVascular and Thoracic Surgery. 2021;32;3:367-370. https://doi.org/10.1093/icvts/ivaa269
  12. Chang S.H., Chen D., Paone D., et al. Thoracic Surgery Outcomes for Patients with Coronavirus Disease 2019 // The Journal of Thoracic and Cardiovascular Surgery. 2021;162;6:1655-1664. https://doi.org/10.1016/j.jtcvs.2021.01.069
  13. Crudeli C., Zilberman B., Williams J., et al. COVID-19’s Impact on Lung Tissue: a Case Report. International Journal of Surgery Case Reports. 2022;92:106905. https://doi.org/10.1016/j.ijscr.2022.106905
  14. Kutergin A.V., Shvetsov I.V., Borshchev S.V., et al. Complex Surgical Treatment of Nonspecific Acute Empyema of the Pleura with Bronchopleural Fistulas. Meditsinskaya Nauka i Obrazovaniye Urala = Medical Science and Education of the Urals. 2008;9;3:19-20 (In Russ.).
  15. Korymasov E.A. National Clinical Guidelines “Empyema of the Pleura”. Klinicheskiye Rekomendatsii = Clin. Recommendations. 2017;147004;1905:1-21 (In Russ.).
  16. Barskiy B.G., Gestkov K.G., Kosachenko V.M., et al. Single-Port Thoracoscopic Programmed Sanitation and Mini Thoracostomy with Vacuum Therapy in the Treatment of Pleural Empyema. Vysokotekhnologicheskaya Meditsina = High-tech Medicine. 2015;2;3:30-39 (In Russ.). http://doi.org/10.1089/lap.2019.0637
  17. Yasnogorodskiy O.O., Shulutko A.M., Pinchuk T.P., et al. Evolution of Methods of Complex Treatment of Patients with Nonspecific Pleural Empyema. Khirurgiya. Zhurnal im. N.I.Pirogova = Surgery. Journal named after NI Pirogov. 2017;4:24-29 (In Russ.). http://doi.org/10.17116/hirurgia2017424-29
  18. Light R.W. A New Classification of Parapneumonic Effusions and Empyema. Chest. 1995;108;2:299-301. https://doi.org/10.1378/chest.108.2.299

Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 29.11.2025. Accepted for publication: 27.12.2025

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