title: Lung abscess combined with chronic osteomyelitis of the mandible successfully treated with video-assisted thoracoscopic surgery.
abstract: With the progress of antibiotic therapy, the mortality of lung abscess has been improved, and surgical intervention has declined. However, surgery is still required in selected cases that are intractable to antibiotic treatment. Video-assisted thoracoscopic surgery (VATS) is beneficial for treatment and/or diagnosis of pulmonary disease as it provides a less invasive surgical technique and reduces prolongation of post-operative recovery. However, the indication of VATS lobectomy for lung abscess is controversial as a result of particular complications, i.e. wet lung, intrapleural adhesion and ease of bleeding. We herein report a rare combination of lung abscess and osteomyelitis of mandible resulting from the same pathogen successfully treated with VATS lobectomy. We propose VATS lobectomy for lung abscess. This procedure might be the best treatment candidate for selected cases of lung abscess.
authors: Department of Surgery, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
authors: Hiromasa
authors: H
authors: Arai
authors: Kenji
authors: K
authors: Inui
authors: Keisuke
authors: K
authors: Watanabe
authors: Kei
authors: K
authors: Watanuki
authors: Koji
authors: K
authors: Okudela
authors: Masahiro
authors: M
authors: Tsuboi
authors: Munetaka
authors: M
authors: Masuda
mesh_terms: D000368:Aged; D002908:Chronic Disease; D006801:Humans; D008169:Lung Abscess / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D008334:Mandible; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011013:Pneumonectomy; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D020775:Thoracic Surgery, Video-Assisted
keywords: VATS; lung abscess; osteomyelitis; surgery