PURPOSE: This study analyses the indications and results of the treatment of pulmonary abscess using aplatisation-plication.
METHODS: Between 1985 and 2005 in Surgical Clinic 4 Targu-Mures we used aplatisation-plication without direct closure of bronchial fistula in a total number of 33 patients with pulmonary abscesses. The etiology was: 15 cases primary, 13 cases neoplastic, 4 cases suppurated hydatic cyst, one case of overinfected pulmonary tuberculosis, one case of cavitary pulmonary tuberculosis with gigantic aspergilloma. The common element of these cases was the reduced functional pulmonary tests and the critical state of the patients, which did not allow a major pulmonary resection.
RESULTS: The mortality after surgery was low - one case through upper gastro-intestinal haemorrhage. In the all other cases we achieved full recovery, with no recurrence at intervals between 1,5 and 20 years.
CONCLUSION: This tehnique has certain advantages, being easy and safe; by avoiding major pulmonary resection, the anesthetical and surgical risks are reduced to minimum. Being performed in free pleural space permits allows associated surgical procedures (decortication, thorachopleuroplasty).
CLINICAL IMPLICATIONS: This method can be a solution of surgical treatment for patients who cannot endure a major pulmonary resection (poor respiratory tests, critical status).
DISCLOSURE: Alexandru Botianu, None.