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Surgical management of pulmonary aspergilloma: clinical experience with 77 cases.
- Source :
-
Turkish journal of medical sciences [Turk J Med Sci] 2015; Vol. 45 (2), pp. 431-7. - Publication Year :
- 2015
-
Abstract
- Background/aim: This retrospective study evaluated the clinical presentation, underlying lung disease, surgical indications, technique, treatment outcomes, and postoperative complications of pulmonary aspergilloma.<br />Materials and Methods: We evaluated 77 patients who underwent pulmonary resection of an aspergilloma at Atatürk Chest Diseases and Thoracic Surgery Research and Training Hospital between January 2000 and December 2013. The initial operations were 4 pneumonectomies, 24 lobectomies, 9 lobectomy plus myoplasties, 10 segmental resections, and 30 wedge resections. Six reoperations were carried out to deal with postoperative complications: 1 myoplasty, 2 completion lobectomies plus myoplasties, 2 myoplasties with rib resections, and 1 completion lobectomy.<br />Results: The subjects comprised 53 males (mean age: 44.26 (range: 10-73) years) and 24 females (mean age: 48.25 (range: 26-70) years). The most common indication for surgery was hemoptysis in 52 patients (67.53%). The most common underlying lung disease was tuberculosis in 37 patients (48.05%). Forty patients (51.94%) had a simple pulmonary aspergilloma and 37 (48.05%) had a complex pulmonary aspergilloma. Major complications occurred in 18 patients (23.37%). The postoperative mortality rate was 3.89%, with 3 patients dying.<br />Conclusion: Surgical resection of pulmonary aspergilloma is the best way to prevent recurrent hemoptysis with low morbidity and mortality.
- Subjects :
- Adult
Female
Hemoptysis etiology
Hemoptysis mortality
Hemoptysis surgery
Humans
Male
Middle Aged
Recurrence
Retrospective Studies
Tomography, X-Ray Computed
Treatment Outcome
Turkey epidemiology
Pneumonectomy adverse effects
Pneumonectomy methods
Postoperative Complications diagnosis
Postoperative Complications mortality
Postoperative Complications surgery
Pulmonary Aspergillosis complications
Pulmonary Aspergillosis diagnosis
Pulmonary Aspergillosis mortality
Pulmonary Aspergillosis physiopathology
Pulmonary Aspergillosis surgery
Reoperation methods
Subjects
Details
- Language :
- English
- ISSN :
- 1300-0144
- Volume :
- 45
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Turkish journal of medical sciences
- Publication Type :
- Academic Journal
- Accession number :
- 26084137
- Full Text :
- https://doi.org/10.3906/sag-1401-165