Korean J Thorac Cardiovasc Surg.
2000 Mar;33(3):245-251.
Surgical analysis of pulmonary aspergilloma
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
Abstract
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BACKGROUND: Pulmonary aspergilloma is a potential life-threatening disease resulting from
massive hemoptysis. Pulmonary aspergilloma has been treated surgically for many years,
however, it has also had higher risk of mortality and complication rate. The purpose of
this study is to analyze the operative methods and the types of complications.
MATERIAL AND METHOD: Sixty patients who underwent surgical resection for pulmonary their
medical reconrds.
RESULT: The mean age was 46.3+/-13.4 years(range 20 to 76 years). The most common clinical
presentation was hemoptysis which occurred in 48 patients(80%). Pulmonary tuberculosis was
the most common pre-existing disease, occurri9ng in 28 patients(46.7%). The other associated
lung diseases were bronchiectasis(n=11), silicosis(n=2), and chronic pnumonia(n=1). Operative
proceudres wer lobectomy in 35 patients, pneumonectomy in 6, segmentectomy in 5, lobectomy
and thoracoplasty in 3, segmentectomy and thoracopasty in 1, and cavernostomy in 10. The
operative mortality was 6%(n=3) in lung resection patients but 0% in cavernostomy patients.
The most common complications were prolonged air leakage, wound infection and postoperative
bleeding.
CONCLUSIONS
In most cases of pulmonary aspergilloma surgical resectin remains the only
effective therapy. However, cavernostomy may be more effective for pulmonary aspergilloma
patients with decreased pulmonary functions and for patients with high risk for lung resection.