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Clin Chest Med. 2015 Mar;36(1):117-22. doi: 10.1016/j.ccm.2014.11.004. Epub 2014 Dec 19.

Surgical approach to pulmonary nontuberculous mycobacterial infections.

Author information

1
Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, University of Colorado School of Medicine, C-310, 12631 East 17th Avenue, Aurora, CO 80045, USA. Electronic address: john.mitchell@ucdenver.edu.

Abstract

The incidence of pulmonary nontuberculous mycobacterial disease is increasing. Despite aggressive medical therapy, a subset of patients will experience treatment failure or suffer disabling or life-threatening symptoms. The use of anatomic lung resection in addition to optimal medical management may, in select cases, result in improved clinical outcomes. More data are needed to confirm this approach. For those with nontuberculous mycobacterial infection, treatment in a multidisciplinary setting including surgeons familiar with operative techniques specific to infectious lung disease will improve patient care.

KEYWORDS:

Bronchiectasis; Lobectomy; Nontuberculous mycobacteria; Pneumonectomy; Thoracoscopic lobectomy; Thoracoscopic segmentectomy; VATS lobectomy; VATS segmentectomy

PMID:
25676524
DOI:
10.1016/j.ccm.2014.11.004
[Indexed for MEDLINE]

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