Endoscopic Drainage of Lung Abscesses: Technique and Outcome

摘要: Background Lung abscesses commonly respond well to antibiotic therapy. In patients in whom conventional therapy fails, either percutaneous catheter drainage or surgical resection are usually considered, but frequently problematic. This study describes our experience with endoscopic lung abscess fails Methods Patients for (enlarging cavity lack of improvement clinical status) was unsuccessful were considered candidates if an airway connection the present. Treatment decisions made a multidisciplinary chest conference. Pigtail catheters placed via guidewire approach into cavities. The flushed twice daily gentamycin solution. If fungal infection suspected, once-daily amphotericin B added regimen Results Forty-two patients, from January 2000 May 2002 (17 woman and 25 men) included this (mean age, 48.9 years). Catheter placement successful 38 led after mean 6.2 days treatment (range, 3 21 days). Two required transient ventilation placement; there no other complications Conclusions Endoscopic selected is feasible experienced hands. represents additional option physician than