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Pulmonary Parenchymal Abscess: VATS Approach to Diagnosis and Treatment

Department of Surgery Catholic Health Partners Chicago, Illinois, USA
For reprint information contact: Francis J Podbielski, MD Tel: 1 508 334 8996 Fax: 1 508 334 6296 email: PodbielF{at}ummhc.org Division of Thoracic Surgery, UMass Memorial Medical Center, 67 Belmont Street, Worcester, MA 01605-2657, USA.

Lung abscesses are usually treated with antibiotic regimens and postural drainage. Treatment failure necessitates transbronchial drainage with radiographically guided or open procedures. A patient with a lung abscess remained febrile despite a 2-week course of antibiotics and 3 unsuccessful percutaneous drainage attempts. Video-assisted thoracoscopic exploration localized the abscess and facilitated endoscopic unroofing and debridement of the cavity. Thoracoscopic drainage techniques offer a reliable and expedient option for refractory lung abscesses when compared to standard therapy alone.

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				F. Herth, A. Ernst, and H. D. Becker Endoscopic Drainage of Lung Abscesses: Technique and Outcome Chest, April 1, 2005; 127(4): 1378 - 1381. [Abstract] [Full Text] [PDF]