Format

Send to

Choose Destination
Acta Med Port. 2014 Jul-Aug;27(4):417-21. Epub 2014 Aug 29.

[Pulmonary aspergilloma surgery: a mono-institutional experience].

[Article in Portuguese; Abstract available in Portuguese from the publisher]

Author information

1
Serviço de Pneumologia. Hospital Sousa Martins. Unidade Local de Saúde. Guarda. Portugal.
2
Centro de Cirurgia Cardiotorácica. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.

Abstract

in English, Portuguese

INTRODUCTION:

Pulmonary aspergiloma or mycetoma is a saprophytic colonization of a preexisting cavity by aspergilloma. Surgical resection is the only effective long-term treatment, but remains controversial because of the high rate of complications in the perioperative and postoperative time.

OBJECTIVES:

Analysis of the experience of a Cardiothoracic Surgery Center for the treatment of pulmonary aspergilloma and evaluation of the prognostic factors after surgery.

MATERIAL AND METHODS:

Retrospective analysis including all the patients with a diagnosis of pulmonary aspergilloma submitted to surgery for a 10 years period, in a single institution (June 2001-June 2011).

RESULTS:

The study included 22 patients (18 men) with a mean age of 51.0 + 17.4 years. Of them, 46% were smokers, 41% were alcoholic and 50% had a previous history of tuberculosis. Most of the patients had a complex aspergilloma (73%) and 17% a simple aspergilloma. The most common presentation was hemoptysis (50%). The common surgical procedure performed was atypical lung resection in 55%, lobectomy in 27% and pneumectomy in 9%. Two patients were submitted to thoracoplasty. There was one operative death (5%). Postoperative complications occurred in 36% and the most frequent were pneumothorax (18%) and empyema (18%). The mean follow-up period was 52 months (3 - 116) and the 5 years mortality rate of 35%. Of them, 4 patients died because of non-related causes and 3 were immunosuppressed patients. The mortality was 40% in the group of complex aspergilloma and 33% in the group of complex aspergilloma.

DISCUSSION:

The most common surgical procedure performed was atypical lung resection. The postoperative complications rate was similar to previous studies.

CONCLUSION:

Surgical resection of aspergilloma presents a low morbidity and mortality. Therefore, for patients with lung function preserved, it is the preferred treatment.

PMID:
25203947
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Ordem dos Medicos / Portuguese Medical Association
Loading ...
Support Center