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[Thoracoscopic resection for Mycobacterium avium complex].

Mingyon Mun1, T Kohno, S Miyanaga

  • 1Division of Thoracic Surgery, Toranomon Hospital, Tokyo, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|May 11, 2005
PubMed
Summary
This summary is machine-generated.

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Thoracoscopic resection, including lobectomy and segmentectomy, offers a viable surgical option for select patients with Mycobacterium avium complex (MAC) lung infections, particularly when chemotherapy is ineffective or hemoptysis persists.

Area of Science:

  • Thoracic Surgery
  • Infectious Diseases
  • Pulmonology

Background:

  • Mycobacterium avium complex (MAC) infections can affect the lungs, necessitating treatment strategies.
  • Surgical intervention for MAC is considered when medical management fails or complications like hemoptysis arise.
  • Video-assisted thoracoscopic surgery (VATS) is a minimally invasive approach for lung resections.

Observation:

  • Two cases of lung resection for MAC are presented: a lobectomy and a segmentectomy.
  • Case 1: A 25-year-old female with localized MAC underwent thoracoscopic lobectomy after chemotherapy.
  • Case 2: A 64-year-old female with MAC and bronchiectasis underwent VATS superior segmentectomy for hemoptysis.

Findings:

  • Thoracoscopic resection was successfully performed in both patients with MAC.

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  • The procedures involved lobectomy and superior segmentectomy, respectively.
  • These cases highlight the potential role of VATS in managing localized MAC lung disease.
  • Implications:

    • Lung resection via VATS can be an effective treatment for selected MAC patients.
    • Surgical intervention should be considered for persistent hemoptysis or chemotherapy-resistant MAC.
    • VATS provides a minimally invasive option for lung resection in MAC management.