| Clinical profile and surgical outcome for pulmonary aspergilloma: a single center experience. | |
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MedLine Citation:
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PMID: 16122488 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This retrospective study was designed to study the clinical profile, indications, postoperative complications and long-term outcome of pulmonary aspergilloma operated in our institute. METHODS: From 1985 to 2003, 60 patients underwent surgery for pulmonary aspergilloma at Sree Chitra Tirunal Institute for Medical Sciences and Technology. RESULTS: The group consisted of 36 male patients and 24 female patients with a mean age of 42.7 +/- 11.8 years. The most common indication for surgery was hemoptysis (93.3%). The common underlying lung diseases were tuberculosis (45%), bronchiectasis (28.3%), and lung abscess (11.6%). Fourteen patients (23%) had simple aspergilloma (SA) and 46 (77%) had complex aspergilloma (CA). The procedures performed were lobectomy (n = 55), pneumonectomy (n = 2), segmental resection (n = 2), and cavernoplasty (n = 2). One patient underwent bilateral lobectomy at 14 months interval. The operative mortality was 4.3% and 0% in CA and SA, respectively (p = 1.0). Major complications occurred in 26.1% patients of CA, whereas none occurred in SA (p = 0.052). The complications included bleeding (n = 2), prolonged air leak (n = 4), empyema (n = 4), repeated pneumothorax (n = 1), and wound dehiscence (n = 1). Three patients needed thoracoplasty. The mean follow-up period was 40 +/- 24 months. The actuarial survival at 10 years was 78% and 92% for CA and SA, respectively. There was no recurrence of disease or hemoptysis. CONCLUSIONS: Surgical resection of pulmonary aspergilloma prevents recurrence of hemoptysis. Complex aspergilloma resection was associated with low mortality but significant morbidity, whereas SA had no associated early mortality and morbidity. Long-term outcome is good for SA and satisfactory for CA. |
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Authors:
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Jayesh Gopal Akbari; Praveen Kerala Varma; Praveen Kumar Neema; Madathipatt Unnikrishnan Menon; Kurur Sankaran Neelakandhan |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 80 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2005 Sep |
Date Detail:
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Created Date: 2005-08-26 Completed Date: 2006-09-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 1067-72 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aspergillosis / diagnosis*, epidemiology, surgery* Comorbidity Female Hemoptysis / epidemiology Hospital Mortality Humans India / epidemiology Longitudinal Studies Lung / radiography Lung Diseases / epidemiology Lung Diseases, Fungal / diagnosis*, epidemiology, surgery* Male Outcome and Process Assessment (Health Care) Pneumonectomy / statistics & numerical data Postoperative Complications / epidemiology Retrospective Studies Spirometry Survival Analysis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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