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
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