{"id":"https://openalex.org/W4307248345","doi":"https://doi.org/10.1097/md.0000000000031080","title":"Surgical operation combined with bronchoscopy in the treatment of fungal empyema: 5 cases report","display_name":"Surgical operation combined with bronchoscopy in the treatment of fungal empyema: 5 cases report","publication_year":2022,"publication_date":"2022-10-21","ids":{"openalex":"https://openalex.org/W4307248345","doi":"https://doi.org/10.1097/md.0000000000031080","pmid":"https://pubmed.ncbi.nlm.nih.gov/36281178","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9592517"},"language":"en","primary_location":{"id":"doi:10.1097/md.0000000000031080","doi":"https://doi.org/10.1097/md.0000000000031080","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000031080","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/md.0000000000031080","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5082055402","display_name":"Shunxin Xin","orcid":"https://orcid.org/0000-0003-3816-1873","observed_orcids":["https://orcid.org/0000-0003-3816-1873"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shunxin Xin","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101697825","display_name":"Yongyong Wu","orcid":"https://orcid.org/0000-0001-6080-309X","observed_orcids":["https://orcid.org/0000-0001-6080-309X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yongyong Wu","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101181772","display_name":"Zhongliang He","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zhongliang He","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033288319","display_name":"Xueming He","orcid":"https://orcid.org/0000-0001-6977-4563","observed_orcids":["https://orcid.org/0000-0001-6977-4563"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Xueming He","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Lei Wang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lei Wang","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Hangzhou, Zhejiang Province, China","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5048412279","display_name":"Yaoli Qi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Yaoli Qi","raw_affiliation_strings":["Department of Cardiothoracic Surgical Nursing, Hangzhou, Zhejiang Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgical Nursing, Hangzhou, Zhejiang Province, China","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5048412279"],"corresponding_institution_ids":[],"apc_list":{"value":1950,"currency":"USD","value_usd":1950},"apc_paid":{"value":1950,"currency":"USD","value_usd":1950},"fwci":0.4836,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.63958544,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"101","issue":"42","first_page":"e31080","last_page":"e31080"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11356","display_name":"Pleural and Pulmonary Diseases","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11356","display_name":"Pleural and Pulmonary Diseases","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12291","display_name":"Pericarditis and Cardiac Tamponade","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fungal-empyema","display_name":"fungal empyema","score":1.0},{"id":"https://openalex.org/keywords/interventional-bronchoscopy","display_name":"interventional bronchoscopy","score":0.5220000147819519},{"id":"https://openalex.org/keywords/thoracic-surgery","display_name":"thoracic surgery","score":0.7269999980926514},{"id":"https://openalex.org/keywords/empyema-recurrence","display_name":"empyema recurrence","score":0.5789999961853027},{"id":"https://openalex.org/keywords/fistula-closure","display_name":"fistula closure","score":0.546999990940094},{"id":"https://openalex.org/keywords/thoracic-infection","display_name":"thoracic infection","score":0.5910000205039978},{"id":"https://openalex.org/keywords/muscle-flap","display_name":"muscle flap","score":0.46399998664855957},{"id":"https://openalex.org/keywords/endobronchial-therapy","display_name":"endobronchial therapy","score":0.7289999723434448}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9734752178192139},{"id":"https://openalex.org/C2777799383","wikidata":"https://www.wikidata.org/wiki/Q1339539","display_name":"Empyema","level":2,"score":0.9174484014511108},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7564595937728882},{"id":"https://openalex.org/C2778594041","wikidata":"https://www.wikidata.org/wiki/Q4973833","display_name":"Bronchopleural fistula","level":4,"score":0.7229713201522827},{"id":"https://openalex.org/C2778996910","wikidata":"https://www.wikidata.org/wiki/Q237232","display_name":"Bronchoscopy","level":2,"score":0.7107759118080139},{"id":"https://openalex.org/C2780698514","wikidata":"https://www.wikidata.org/wiki/Q1877550","display_name":"Lung abscess","level":3,"score":0.6186828017234802},{"id":"https://openalex.org/C2776341189","wikidata":"https://www.wikidata.org/wiki/Q189470","display_name":"Fistula","level":2,"score":0.5587639212608337},{"id":"https://openalex.org/C2777035434","wikidata":"https://www.wikidata.org/wiki/Q164655","display_name":"Abscess","level":2,"score":0.46100398898124695},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.4315027594566345},{"id":"https://openalex.org/C2777589429","wikidata":"https://www.wikidata.org/wiki/Q46565","display_name":"Pneumonectomy","level":3,"score":0.2172316312789917},{"id":"https://openalex.org/C2777714996","wikidata":"https://www.wikidata.org/wiki/Q7886","display_name":"Lung","level":2,"score":0.20867770910263062},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09279567003250122},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D001983","descriptor_name":"Bronchial Fistula","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001999","descriptor_name":"Bronchoscopy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004653","descriptor_name":"Empyema","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005402","descriptor_name":"Fistula","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015505","descriptor_name":"Chest Tubes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016724","descriptor_name":"Empyema, Pleural","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D016724","descriptor_name":"Empyema, Pleural","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1097/md.0000000000031080","doi":"https://doi.org/10.1097/md.0000000000031080","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000031080","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9592517","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9592517","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine (Baltimore)","raw_type":"Text"},{"id":"pmid:36281178","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36281178","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.1097/md.0000000000031080","doi":"https://doi.org/10.1097/md.0000000000031080","is_oa":true,"landing_page_url":"https://doi.org/10.1097/md.0000000000031080","pdf_url":null,"source":{"id":"https://openalex.org/S28966261","display_name":"Medicine","issn_l":"0025-7974","issn":["0025-7974","1536-5964"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W152748344","https://openalex.org/W190634331","https://openalex.org/W1593902977","https://openalex.org/W1979896171","https://openalex.org/W2000905371","https://openalex.org/W2013403135","https://openalex.org/W2025524868","https://openalex.org/W2031728239","https://openalex.org/W2048164803","https://openalex.org/W2062511210","https://openalex.org/W2065502127","https://openalex.org/W2067410675","https://openalex.org/W2082996726","https://openalex.org/W2093504503","https://openalex.org/W2093985489","https://openalex.org/W2123134253","https://openalex.org/W2135118098","https://openalex.org/W2154485071","https://openalex.org/W2397156089","https://openalex.org/W2483725159","https://openalex.org/W2991639139","https://openalex.org/W4254394521","https://openalex.org/W4300258207"],"related_works":["https://openalex.org/W7117588445","https://openalex.org/W2057309249","https://openalex.org/W2062511210","https://openalex.org/W4391700150","https://openalex.org/W4313640139","https://openalex.org/W1976113512","https://openalex.org/W2409083239","https://openalex.org/W2373526199","https://openalex.org/W2111202084","https://openalex.org/W243074427"],"abstract_inverted_index":{"RATIONALE:":[0],"Fungal":[1],"empyema":[2,70,134],"is":[3,9,17,35,242,273],"a":[4,36,243,274],"chronic":[5],"refractory":[6],"disease.":[7],"It":[8],"difficult":[10,37],"to":[11,25,47,75,79,166,202,268],"control":[12,26,48],"thoracic":[13,219],"infection,":[14,49],"and":[15,29,53,57,98,146,157,181,200,221,228,255,261],"it":[16,272],"faced":[18],"with":[19,42,68,82,144,240],"the":[20,27,31,51,95,102,108,113,121,130,136,149,153,158,171,175,192,212,247,257,263],"problem":[21],"of":[22,33,65,86,111,115,123,132,169,186,218,224,231,249],"recurrence.":[23,270],"How":[24],"infection":[28,150,220],"reduce":[30],"probability":[32],"recurrence":[34,185,217,223],"problem.":[38],"Surgical":[39,237],"operation":[40,194,214,238],"combined":[41,143,239],"endobronchial":[43],"therapy":[44],"was":[45,151,161,178,183,233],"used":[46],"seal":[50],"fistula":[52,258],"eliminate":[54,262],"residual":[55,264],"cavity":[56,160,177,265],"achieved":[58],"good":[59],"results.":[60],"PATIENT":[61],"CONCERNS:":[62],"A":[63],"total":[64],"5":[66,137],"patients":[67,189,207],"fungal":[69,133,250],"were":[71,93,155],"treated":[72],"from":[73],"2019":[74],"2021,":[76],"aged":[77],"27":[78],"72":[80],"years,":[81],"an":[83],"average":[84],"age":[85],"54.8":[87],"\u00b1":[88],"7.6":[89],"years.":[90],"Two":[91],"cases":[92,100],"on":[94,101],"left":[96],"side":[97],"3":[99],"right":[103],"side.":[104],"DIAGNOSIS:":[105],"While":[106],"meeting":[107],"diagnostic":[109],"criteria":[110],"empyema,":[112,251],"diagnosis":[114,131],"fungus":[116,124],"in":[117,125,135,174],"pus":[118,159],"culture":[119],"or":[120,226],"discovery":[122],"deep":[126],"tissue":[127],"pathology":[128],"confirmed":[129],"cases.":[138],"INTERVENTIONS:":[139],"Through":[140],"surgical":[141],"operations":[142],"bronchoscopy":[145,241],"individualized":[147],"treatment,":[148],"controlled,":[152],"fistulas":[154],"blocked,":[156],"filled.":[162],"OUTCOMES:":[163],"After":[164],"11":[165],"30":[167],"months":[168],"follow-up,":[170],"muscle":[172],"flap":[173],"abscess":[176],"mildly":[179],"atrophied,":[180],"there":[182],"no":[184,216,222],"empyema.":[187],"Three":[188],"who":[190,208],"completed":[191],"second-stage":[193,213],"had":[195,215],"their":[196,229],"chest":[197],"tubes":[198],"removed":[199],"returned":[201],"normal":[203],"life.":[204],"The":[205],"2":[206],"did":[209],"not":[210],"complete":[211],"cough":[225],"fever,":[227],"quality":[230],"life":[232],"greatly":[234],"improved.":[235],"LESSONS:":[236],"reliable":[244],"method":[245],"for":[246],"treatment":[248,276],"which":[252],"can":[253],"find":[254],"plug":[256],"more":[259],"efficiently":[260],"by":[266],"surgery":[267],"avoid":[269],"Therefore,":[271],"recommended":[275],"method.":[277]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2022-10-30T00:00:00"}
