Document Detail


Clinical profile and surgical outcome for pulmonary aspergilloma: a single center experience.
MedLine Citation:
PMID:  16122488     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jayesh Gopal Akbari; Praveen Kerala Varma; Praveen Kumar Neema; Madathipatt Unnikrishnan Menon; Kurur Sankaran Neelakandhan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  80     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-26     Completed Date:  2006-09-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1067-72     Citation Subset:  AIM; IM    
Affiliation:
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:
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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