Possibilities of surgical treatment of pulmonary aspergillosis
Journal Title: Туберкульоз, легеневі хвороби, ВІЛ-інфекція - Year 2018, Vol 0, Issue 2
Abstract
Objective — to present our own experience of surgical treatment of pulmonary aspergillosis. Materials and methods. During last ten years, 18 patients with pulmonary aspergillosis were observed. In 14 (77.8 %) cases aspergilloma was diagnosed and in 3 (16.7 %) patients — invasive aspergillosis. In 10 (55.6 %) patients with aspergilloma, resections were performed. 4 (22.2 %) patients were denied surgery due to significant respiratory disorders. The average age of patients was (44.6 ± 14.1) years. The duration of the background disorder before the operation was from 2 to 108 months. All patients received specific antifungal therapy before and after surgery. Results and discussion. Performed operative interventions were following: 4 (36.4 %) pleuropulmonectomy, 5 (45.5 %) lobectomy, 1 (9.1 %) typical resection of the pyramid and S3 on the right. Thoracoplasty was performed in 1 (9.1 %) patient during the surgical procedure. The average duration of the operation was (225.9 ± 78.6) min, and the average intraoperative blood loss was (300.0 ± 286.8) ml. Conclusions. Surgical treatment of pulmonary aspergillosis is a difficult challenge with many unsolved questions. Systematization of own experience and literature data gives an opportunity to increase the results of the treatment.
Authors and Affiliations
M. S. Opanasenko, O. E. Kshanovskyi, B. M. Konik, O. V. Tereshkovych, M. I. Kalenychenko, L. I. Levanda
Keywords
Related Articles
- EP ID EP298746
- DOI -
- Views 88
- Downloads 0
Extrapulmonary tuberculosis and miliary tuberculosis in patients with TB/HIV co-infection. Part 2
-
Analysis of the results of the surgical treatment of tuberculosis in children
Tuberculosis (TB) in children is a complex of medical, biological and social problem of both international and national importance for many countries of the world and remains one of the main causes of death in the world....
First results of the introduction of bedaguiline for patients with multidrug resistens tuberculosis in Ukraine: recommendations for practical doctor resume
Objective — to implement approaches for the proper use of new and reprogrammed drugs for the treatment of drug-resistant tuberculosis. Materials and methods. Such an implementation took place within the pilot project Ch...
Characteristics of HIV-associated diseases of the central nervous system in hospitalized patients in the Dnipropetrovsk region
Objective — to analyze the main epidemiological, demographic and laboratory characteristics of cases of HIV associated diseases of the central nervous system (CNS) in the Dnipro city and Dnipropetrovsk region in the peri...
HIV infection epidemic situation in the Black sea region of Ukraine (2006—2018)
Objective — to analyze the HIV epidemic situation in the Black Sea region of Ukraine — in Odesa, Mykolaiv and Kherson regions during 2006—2018. Materials and methods. the investigation used an analytical method. The off...