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Feasibility of surgery for pulmonary aspergilloma: analysis of the operative modes

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Abstract

Purpose

We evaluated the feasibility of surgery for pulmonary aspergilloma.

Methods

We retrospectively evaluated 35 surgical patients with pulmonary aspergilloma. The clinical characteristics and perioperative surgical morbidity were compared based on the operative modes. Preoperative artery embolization (PAE) was selectively performed to reduce the expected surgical stress caused by intraoperative blood loss.

Results

The cohort comprised 19 males and 16 females with a mean age of 56 years. Lobectomy was performed in 22 patients, segmentectomy in 5, wedge resection in 4, and palliative surgery in 4. Postoperative morbidities were found in 12 (34%) patients, however, life-threatening complications or resurgence of the infection after surgery never occurred. PAE was performed in 9 (26%). Intrathoracic adhesions were significantly observed in patients who underwent PAE (p = 0.003), however, operative time and intraoperative blood loss were not significantly different between the patients with and without PAE (operative time, 202 vs. 164 min, p = 0.143: blood loss, 173 vs. 195 ml, p = 0.871). There was no 30-day mortality at a median follow-up period of 41.5 months.

Conclusions

Surgical results for pulmonary aspergilloma were feasible and the postoperative morbidities were acceptable. PAE was considered effective in lessening surgical stress.

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Authors and Affiliations

  1. Department of General Thoracic Surgery, Juntendo University School of Medicine, 1-3, Hongo 3-chome, Bunkyo-ku, Tokyo, 113-8431, Japan

    Kazuyuki Komori, Aritoshi Hattori, Takeshi Matsunaga, Kazuya Takamochi, Shiaki Oh & Kenji Suzuki

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  1. Kazuyuki Komori
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  2. Aritoshi Hattori
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  3. Takeshi Matsunaga
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  4. Kazuya Takamochi
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  5. Shiaki Oh
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  6. Kenji Suzuki
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Corresponding author

Correspondence to Kenji Suzuki.

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The authors have declared that no conflict of interest exists.

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Komori, K., Hattori, A., Matsunaga, T. et al. Feasibility of surgery for pulmonary aspergilloma: analysis of the operative modes. Gen Thorac Cardiovasc Surg 66, 276–283 (2018). https://doi.org/10.1007/s11748-018-0904-3

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  • DOI: https://doi.org/10.1007/s11748-018-0904-3

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