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2017, Number 2

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Revista Cubana de Cirugía 2017; 56 (2)

Results of the surgical treatment of lung abscess

Mederos CON

Language: Spanish
References: 26
Page: 1-11
PDF size: 109.47 Kb.


ABSTRACT

Introduction: diagnosis and treatment of lung abscess has varied throughout the time.
Objective: to evaluate the results of the surgical treatment in patients whose medical treatment failed.
Methods: observational and descriptive study of 45 patients with lung abscess, who had undergone some type of surgery.
Results: males predominated; 82.2% aged 60 to 70 years and all presented with risk factors. Primary lung abscess was the most common, followed by abscessed lung cancer, bullas, bronchiectasis and tuberculosis abscess. In the group, 91.1% were classified as ASA II or III and 8.9% as ASA IV. Gram-negative germs prevailed. Right lung was the most affected one. The most performed surgeries were resections, mainly lobectomy. Percutaneous drainage and pleurostomy; tuberculosis suppuration was treated with drainage and anti-tuberculosis drugs. The commonest complications were respiratory infections, arrhythmias and surgical site infections. The morbidity rate was below 25% and the mortality rate was 3.8%.
Conclusions: taking into account the cause, the physical condition and the surgical risk factors, the individual selection of the procedure to be used allows achieving satisfactory outcomes.


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