title: Surgical treatment of 26 patients with necrotizing pneumonia.
abstract: BACKGROUND
  This study aimed to review the outcome of patients treated with surgical resection for necrotizing lung infection with various co-morbidities and complications.
  
  
  METHODS
  The records of 26 patients treated with pulmonary resection for necrotizing pneumonia between July 2004 and January 2010 were retrospectively reviewed. Surgical procedures included large wedge resection (n = 1), lobectomy (n = 19) and bilobectomy (n = 6).
  
  
  RESULTS
  The study cohort consisted of 21 men and 5 women aged 35-85 years (mean 64.7 ± 15.0 years). Twenty-three (88.5%) patients had underlying risk factors. At surgical consultation, 17 patients presented with progressive respiratory distress; 6 required ventilatory support; 12 had empyema, and in 5 patients the conditions were complicated by bronchopleural fistula. Four patients had septic shock requiring vasopressor support. Three patients developed hemoptysis. Two patients had bilateral diffuse pneumonia. Klebsiella pneumoniaeand Streptococcusviridans were the most common pathogens. The right lower (n = 13) and right middle lobes (n = 10) were the most frequently affected. Four deaths (15.4%) occurred: 3 due to perioperative progressing pulmonary infection/inflammation and 1 due to hepatorenal failure. Postoperative empyema occurred in 3 patients. One patient became ventilator dependent.
  
  
  CONCLUSIONS
  Pulmonaryresection for necrotizing pneumonia is a feasible treatment option in patients with progressive pulmonary sepsis.
authors.affiliation: Department of Surgery, Chi Mei Medical Center, Liouying, Taiwan, ROC.
authors.forename: Y-F
authors.initials: YF
authors.lastname: Tsai
authors.forename: Y-T
authors.initials: YT
authors.lastname: Tsai
authors.forename: Y-H
authors.initials: YH
authors.lastname: Ku
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001983:Bronchial Fistula / Q000601:surgery; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods; D018410:Pneumonia, Bacterial / Q000000981:diagnostic imaging / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D013510:Pulmonary Surgical Procedures / Q000009:adverse effects / Q000379:methods; D016156:Respiratory Tract Fistula / Q000601:surgery; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome