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Surgical management of pulmonary aspergilloma

Role of single-stage cavernostomy with muscle transposition

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Abstract

Objective: We reviewed the outcome of the patients with aspergilloma who were treated surgically.Methods: Between July 1991 and October 1996, 11 patients with pulmonary aspergilloma underwent surgery. One underwent sequential bilateral tboracotomy and two underwent re-operation. The total number of operations was 14. Surgical procedures consisted of 5 cavernostomies with muscle transposition, 3 cavernostomies with muscle transposition and thoracoplasty, 1 lobectomy 1 pneumonectomy, 1 segmentectomy and 3 partial resections.Results: Morbidity and mortality rates were 28.6% and 7.1%, respectively Two patients who underwent cavernostomy and muscle transposition experienced a relapse of aspergilloma 19 and 29 months after the operation, respectively, but both successfully underwent re-operation, including cavernostomy. Both are free of symptoms 28 and 30 months after re-operation, respectively. All survivors except for one who died of multiple organ failure remain free of symptoms 14 to 60 months after the most recent operation.Conclusion: Our experience was not a controlled trial and two relapsed cases had undergone cavernostomy, our series may suggest that single-stage cavernostomy with muscle transposition is a viable surgical option for patients with pulmonary aspergilloma.

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Authors and Affiliations

  1. Department of Thoracic Surgery, Japanese Red Cross Society Wakayama Medical Center, Wakayama, Japan

    Kiyoshi Sato, Hiroyasu Yokomise & Koichi Tamura

  2. Department of Thoracic Surgery, Nagahama City Hospital, 313 O-inui cho, Nagahama, 526-8580, Shiga, Japan

    Nobuhiro Ono

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  1. Nobuhiro Ono
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  2. Kiyoshi Sato
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  3. Hiroyasu Yokomise
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  4. Koichi Tamura
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Ono, N., Sato, K., Yokomise, H. et al. Surgical management of pulmonary aspergilloma. Jpn J Thorac Caridovasc Surg 48, 56–59 (2000). https://doi.org/10.1007/BF03218085

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  • DOI: https://doi.org/10.1007/BF03218085

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