Tratamiento quirúrgico del aspergiloma pulmonar

Torres-Melero, J; Torres, A.; Hernando, Fernando J. Ponte; Jl, Balibrea; Remezal, Mario Capita

doi:10.1016/s0300-2896(15)30966-2

Cited by 2 publications

(3 citation statements)

References 27 publications

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“…Pulmonary aspergilloma is often produced in residual cavities of tubercular origin. In series published on aspergilloma, the antecedents of pulmonary tuberculosis always stand out, representing as much as 37.5% [30] and including 72.4% in areas of high prevalence of PTB [31]. The most recent publications on surgical treatment of tuberculosis have reported aspergilloma at a frequency of 45% [18].…”

Section: Pulmonary Aspergillomamentioning

confidence: 99%

“…Its origin is due to various causes; among those described is trauma by friction due to its own fungal ball, the production of proteolytic and fibrinolytic enzymes [30,34], and type III antigen-antibody reactions [30]. The presence of hemoptysis is usually a warning sign, and around 30% evolve into massive hemoptysis [30,31].…”

Section: Pulmonary Aspergillomamentioning

confidence: 99%

“…If there is an accompanying clinical picture, and if the patient meets the conditions of operability, it is preferable to undertake surgical resection through the source of the aspergilloma, taking into account the condition of the affected lung. Lobectomy is preferred, although there may also be indications for segmental resection or pneumonectomy depending of the size of the lesion [30,31,33,34]. Another surgical technique used, although only in cases of high operative risk, is simple cavernostomy and extraction of the aspergilloma as well as myoplasty in the treated zona [37].…”

Section: Pulmonary Aspergillomamentioning

confidence: 99%

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Surgical Indications for Treatment of Pulmonary Tuberculosis

Freixinet

1997

World j. surg.

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Surgery for pulmonary tuberculosis (PTB) has passed through various stages throughout history, having been the treatment of choice in the past. It has now been relegated to second place for treatment of this disease. One of the most strongly debated surgical indications has been clinical picture of multidrug resistance with the focus of pulmonary tuberculous activity located in a segment, lobe, or lung. In these cases some authors have described good results with surgical excision. Another important indication is the complications of PTB, among which bronchiectases (provoking pictures of suppuration, superinfections, or hemoptysis) are found, along with known destructive pulmonary sequelae such as destroyed lung, massive hemoptysis, and the presence of a bronchopleural fistula that cannot be resolved with pleural drainage. The presence of a neoplasm in a patient affected by PTB is a surgical indication if the lesion is resectable. The existence of an unidentifiable pulmonary mass or node is a surgical criterion because it might signal bronchogenic carcinoma. A frequent indication for surgery is pulmonary aspergilloma, which in a large percentage of cases is a destructive PTB sequela and generates serious complications, hemoptysis being the most frequent. Mediastinal tuberculous lymphadenitis that produces compressive symptoms and pulmonary complications, especially in children, is another surgical indication for decompressing the bronchial tree. The surgery in these cases consists in excision and curettage of adenopathies. Surgery therefore now constitutes a valid option for the treatment of certain clinical pictures of PTB that do not respond to medical treatment, are serious, and are potentially fatal.

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Section: Pulmonary Aspergillomamentioning

confidence: 99%