Pneumonectomy for chronic infection is a high-risk procedure

Massard, Gilbert; Dabbagh, Ahmad; Wihlm, Jean‐Marie; Kessler, Romain; Barsotti, Pierre; Roeslin, N; Morand, G

doi:10.1016/0003-4975(96)00596-6

Cited by 83 publications

(55 citation statements)

References 18 publications

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“…Pneumonectomy was the second most frequent operation. Although pneumonectomy has been accepted to result more complications 9 and mortality than that of other limited resections, no increase in complications has occurred, and it has been well tolerated in children in the current series.…”

Section: Discussionmentioning

confidence: 80%

Surgical treatment of bronchiectasis in children

Ötgün

Karnak

Tanyel

et al. 2004

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 80%

Surgical treatment of bronchiectasis in children

Ötgün

Karnak

Tanyel

et al. 2004

Journal of Pediatric Surgery

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“…In cases of fistulous empyema that develop as a result of destroyed lung, pleuropneumonectomy is indicated due to the risk of pneumonia in the contralateral lung after surgical intervention (10,11). However, because there is a high risk of complications, this procedure is not universally recommended (12) and its indication should be carefully considered (11,13 is one of the surgical indications (16). However, prediction of postoperative lung function is just one of the indicators; therefore, it is important to determine surgical indications after comprehensive evaluation of patients' general conditions, including their performance status (PS).…”

Section: Discussionmentioning

confidence: 99%

Completion pneumonectomy after fenestration for empyema due to nontuberculous mycobacteriosis associated with destroyed lung as a result of cancer surgery

2017

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Long-term follow-up of post-operative lung cancer patients indicates that some patients develop lung complications. Destroyed lung cannot be ignored because it predisposes the patient to recurrent infection. We report a case of thoracic empyema with bronchopleural fistula that developed in lung tissue damaged due to cancer surgery and associated with an infection of Mycobacterium gordonae (M. gordonae); a class of bacterium responsible for nontuberculous mycobacterial infection. The patient's cancer did not recur after surgery and followed a typical course that began with sub-pleural cystitis followed by repeated infection. We performed fenestration because the patient developed fistulous empyema and the infection became difficult to control using antibiotics. The patient then underwent a radical pleuropneumonectomy and his postoperative course was excellent. Thus, in cases of impaired lung function due to cancer surgery and where pharmacologic control of infection is challenging, we suggest that radical surgical intervention should be considered.

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“…The mortality rates after pneumonectomy for a chronic infection range from 1.2-9.5% (12)(13)(14)(15). The rate of morbidities, such as empyema or bronchopleural fistula, is suggested to be relatively high (14,15), and empyema occurs frequently after pneumonectomy, especially in patients with preexisting empyema (16). Aspergillus spp.…”

Section: Discussionmentioning

confidence: 99%

Successful Treatment of <i>Aspergillus</i> Empyema Using Open Window Thoracostomy Salvage Treatment and the Local Administration of an Antifungal Agent

et al. 2016

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A 76-year-old woman received long-term immunosuppressive treatment for collagen vascular diseaseassociated interstitial pneumonia. The patient developed a cavitary mass lesion in the right lower lung field, and both nontuberculous mycobacteria and Aspergillus spp. were isolated after bronchial washing. The patient underwent a right lower lobectomy but developed Aspergillus empyema. Empyema due to Aspergillus spp. is a rare and life-threatening condition; however, the standard therapeutic strategies for treating Aspergillus empyema are not clear. We herein report a case of Aspergillus empyema that was successfully treated with a combination therapy which included open-window thoracostomy and the administration of antifungal agents (systemic micafungin and local amphotericin-B).

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Pneumonectomy for chronic infection is a high-risk procedure

Cited by 83 publications

References 18 publications

Surgical treatment of bronchiectasis in children

Surgical treatment of bronchiectasis in children

Completion pneumonectomy after fenestration for empyema due to nontuberculous mycobacteriosis associated with destroyed lung as a result of cancer surgery

Successful Treatment of <i>Aspergillus</i> Empyema Using Open Window Thoracostomy Salvage Treatment and the Local Administration of an Antifungal Agent

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