RT Book, Section
A1 Grewal, Harsh
A1 Evans, Barry
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100433596
T1 Lung Infections: Lung Biopsy, Lung Abscess, Bronchiectasis, and Empyema
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesssurgery.mhmedical.com/content.aspx?aid=1100433596
RD 2024/04/19
AB The  most  common  condition  related  to  lung  infection  requiring  surgical  intervention  in  a  hospitalized  child  is  empyema  resulting  from  a  complication  of  community-acquired  pneumonia.Most  children  with  empyema  can  be  successfully  treated  by  following  an  algorithm  that  uses  a  minimally  invasive  approach  with  video-assisted  thoracoscopic  surgery  (VATS).Lung  biopsy  for  pulmonary  infiltrates  and  possible  lung  infection  in  immunocompromised  children  may  be  required  when  imaging  (including  high-resolution  computerized  tomography  [HRCT]),  bronchoscopy,  broncho-alveolar  lavage  (BAL),  and  genetic  testing  for  interstitial  lung  disorders  are  unsuccessful  in  obtaining  a  diagnosis.Most  lung  biopsies  can  be  performed  using  VATS,  unless  single  lung  ventilation  cannot  be  safely  tolerated.Lung  abscesses,  which  are  uncommon  in  children,  and  bronchiectasis,  usually  complicating  cystic  fibrosis,  rarely  require  surgery.  Use  of  an  algorithmic  approach  to  these  disorders  may  reduce  length  of  hospitalization  and  morbidity.