Aspergilloma - Presentation and management: Our experience

Hussain, Sartaj; Tekalkote, Sudheendra

doi:10.5455/jmas.282705

Cited by 1 publication

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“…Similar to previous studies, we had high complication rates in patients who underwent pneumonectomy. [ 22 , 23 ] The incidence of postoperative BPF and empyema is higher among patients undergoing pneumonectomy for CPA. Kim et al[ 24 ] reported the development of postpneumonectomy empyema after two of their three pneumonectomies.…”

Section: Discussionmentioning

confidence: 99%

“…[ 26 , 27 ] Tuberculosis is the most common comorbidity associated with aspergillomas. [ 23 ] Pulmonary tuberculosis is very common in developing countries, and its coexistence with aspergilloma has been reported in 13 to 89% of patients. [ 17 , 27 ] The large cavities created by tuberculosis create a suitable environment for the growth of Aspergillus.…”

Section: Discussionmentioning

confidence: 99%

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Factors affecting survival after anatomical lung resection in pulmonary aspergilloma: Our 10-year single institution experience

Sezen

Aker

Doğru

et al. 2022

Turk Gogus Kalp Dama

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Background: The aim of this study was to investigate the long-term outcomes of patients who underwent anatomic lung resection for pulmonary aspergilloma and to evaluate the prognostic factors affecting early postoperative morbidity. Methods: Between January 2007 and January 2017, we retrospectively evaluated a total of 55 patients (40 males, 15 females; mean age: 44.6 years; range, 18 to 75 years) who underwent lobectomy and pneumonectomy for pulmonary aspergilloma. All patients were evaluated for simple or complex aspergilloma based on imaging and thoracotomy findings. Results: Thirty-two (58.2%) patients presented with hemoptysis. Seven (12.7%) patients underwent emergency surgery due to massive hemoptysis. Postoperative morbidity was observed in 15 (27.3%) patients. Prognostic factors that had an effect on morbidity were resection type, Charlson Comorbidity Index >3, and massive hemoptysis (p<0.05). There was no intra- or postoperative mortality. The five-year survival rate was 89.4%. None of the factors evaluated in the study were associated with survival. Conclusion: The main finding of this study is the absence of mortality after surgical treatment for pulmonary aspergilloma. The success of surgical treatment depends on the management of postoperative complications.

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Section: Discussionmentioning

confidence: 99%