Surgical treatment of pulmonary aspergilloma: a series of 72 cases.
Indian J Chest Dis Allied Sci
;
2007 Jan-Mar; 49(1): 23-7
Artículo
en Inglés
| IMSEAR
| ID: sea-29863
ABSTRACT
BACKGROUND:
The objective of this study was to evaluate the immediate and long-term result of resectional surgery in pulmonary aspergilloma.METHODS:
Seventy-two patients who underwent pulmonary resectional surgery for symptomatic aspergilloma between 1990 to 2002 were studied. Seventy-nine definitive operations were carried out, including one bilateral lobectomy for recurrent lesions and six thoracoplasties to deal with post-operative complications, besides 21 pneumonectomies and 51 lobectomies. There were 10 bilobectomies as well, included in the lobectomy group.RESULTS:
At a mean follow-up of 3.5 years, there were two post-operative deaths and a few complications occurred in 20 cases translating into a morbidity of 28.57% and a mortality of 2.77 percent. Major complications included were persistent air leak, persistent pleural space, empyema, bronchopleural fistula and massive haemorrhage. All events were seen in cases of complex aspergilloma; cases of simple aspergillomas had an uneventful course.CONCLUSIONS:
Surgery offers definitive and long-term symptom-free survival in cases of pulmonary aspergilloma at a negligible risk; though almost one-third of those undergoing surgery develop some complications, these are largely manageable.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Aspergilosis
/
Femenino
/
Humanos
/
Masculino
/
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Resultado del Tratamiento
/
Adulto
/
Enfermedades Pulmonares Fúngicas
/
Persona de Mediana Edad
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Idioma:
Inglés
Revista:
Indian J Chest Dis Allied Sci
Año:
2007
Tipo del documento:
Artículo
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