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J Pediatr Surg. 2010 Mar;45(3):574-8. doi: 10.1016/j.jpedsurg.2009.10.047.

Thoracoscopic treatment of pediatric lung abscesses.

Author information

1
Hawaii Surgical Residency Program, Honolulu, HI 96813, USA. knagasaw@hawaii.edu

Abstract

OBJECTIVE:

Lung abscesses in the pediatric population are relatively rare. We present our consecutive series of thoracoscopically treated pediatric lung abscesses.

METHODS:

A retrospective review of children who underwent thoracoscopic drainage of intraparenchymal lung abscesses between October 2006 and January 2009 at a tertiary referral center. All patients had associated parapneumonic empyema and underwent drainage of the abscess concurrently with thoracoscopic treatment of the empyema.

RESULTS:

Eleven children (4 boys and 7 girls) had thoracoscopic intervention for lung abscesses. A total of seventeen abscesses were drained. All procedures were completed thoracoscopically. There were no mortalities or long-term bronchopleural fistulas. No child required a formal thoracotomy, lung resection or a second operation. Mean duration of postoperative hospital stay was 11.0 days (range, 3-36). Mean length of stay was 19.5 days (range, 6-77 days). Mean duration of postoperative chest tube was 3.6 days (range, 2-8). Mean length to defervescence was 4.8 days (range, 1-11 days). Mean duration of postoperative antibiotics was 23.6 days (range, 3-56). Eight children had organisms identified from intraoperative cultures.

CONCLUSIONS:

Thoracoscopic drainage of pediatric lung abscesses is a viable and safe treatment option. Thoracoscopic abscess drainage is associated with minimal morbidity and may result in faster recovery and a shorter course of antibiotics.

PMID:
20223322
DOI:
10.1016/j.jpedsurg.2009.10.047
[Indexed for MEDLINE]

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