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

  • Kazuyuki Komori
  • Aritoshi Hattori
  • Takeshi Matsunaga
  • Kazuya Takamochi
  • Shiaki Oh
  • Kenji Suzuki
Original Article

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.

Keywords

Pulmonary aspergilloma Surgical resection Preoperative artery embolization Outcome 

Notes

Compliance with ethical standards

Conflict of interest

The authors have declared that no conflict of interest exists.

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Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  1. 1.Department of General Thoracic SurgeryJuntendo University School of MedicineTokyoJapan

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