[Lung abscess and necrotizing pneumonia: chest tube insertion or surgery?].

Abstract

Lung abscesses and necrotizing pneumonia are rare complications of community-acquired pneumonia since the advent of antibiotics. Their management leans first of all on the antibiotic treatment adapted on the informed germs. However, in 11 to 20% of the cases of lung abscesses, this treatment is insufficient, and drainage, either endoscopic or percutaneous, must be envisaged. In first intention, we shall go to less invasive techniques: endoscopic or percutaneous radio-controlled. In case of failure of these techniques, a percutaneous surgical drainage by minithoracotomy will be performed. In the necrotizing pneumonia, because of the joint obstruction of the bronchus and blood vessels corresponding to a lung segment, the systemic antibiotic treatment will be poor effective. In case of failure of this one we shall propose, a percutaneous surgical drainage, especially if the necrosis limits itself to a single lobe. The surgical treatment will be reserved: in the failures of the strategy of surgical drainage, in the necroses extending in several lobes.

• Authors: P-B Pagès, A Bernard
• Journal: Revue de pneumologie clinique (Rev Pneumol Clin) Vol. 68 Issue 2 Pg. 84-90 (Apr 2012) ISSN: 1776-2561 [Electronic] France
• Vernacular Title: Les abcès et nécroses pulmonaires à germes banals : drainage ou chirurgie ?
• PMID: 22361063 (Publication Type: Comparative Study, Evaluation Study, Journal Article, Review)
• Copyright: Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Topics

• Chest Tubes (statistics & numerical data)
• Drainage (instrumentation, methods, statistics & numerical data)
• Humans
• Lung (pathology, surgery)
• Lung Abscess (surgery, therapy)
• Necrosis (surgery, therapy)
• Pneumonia (surgery, therapy)
• Pulmonary Surgical Procedures (methods, statistics & numerical data)