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Surgical management of pulmonary aspergilloma

Authors
  • Ono, Nobuhiro1
  • Sato, Kiyoshi2
  • Yokomise, Hiroyasu2
  • Tamura, Koichi2
  • 1 Nagahama City Hospital, Department of Thoracic Surgery, 313 O-inui cho, Nagahama, Shiga, 526-8580, Japan , Shiga
  • 2 Japanese Red Cross Society Wakayama Medical Center, Department of Thoracic Surgery, Wakayama, Japan , Wakayama
Type
Published Article
Journal
The Japanese Journal of Thoracic and Cardiovascular Surgery
Publisher
Springer-Verlag
Publication Date
Jan 01, 2000
Volume
48
Issue
1
Pages
56–59
Identifiers
DOI: 10.1007/BF03218085
Source
Springer Nature
Keywords
License
Yellow

Abstract

Objective: We reviewed the outcome of the patients with aspergilloma who were treated surgically.Methods: Between July 1991 and October 1996, 11 patients with pulmonary aspergilloma underwent surgery. One underwent sequential bilateral tboracotomy and two underwent re-operation. The total number of operations was 14. Surgical procedures consisted of 5 cavernostomies with muscle transposition, 3 cavernostomies with muscle transposition and thoracoplasty, 1 lobectomy 1 pneumonectomy, 1 segmentectomy and 3 partial resections.Results: Morbidity and mortality rates were 28.6% and 7.1%, respectively Two patients who underwent cavernostomy and muscle transposition experienced a relapse of aspergilloma 19 and 29 months after the operation, respectively, but both successfully underwent re-operation, including cavernostomy. Both are free of symptoms 28 and 30 months after re-operation, respectively. All survivors except for one who died of multiple organ failure remain free of symptoms 14 to 60 months after the most recent operation.Conclusion: Our experience was not a controlled trial and two relapsed cases had undergone cavernostomy, our series may suggest that single-stage cavernostomy with muscle transposition is a viable surgical option for patients with pulmonary aspergilloma.

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