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Results of surgical treatment for pulmonary aspergilloma

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Author(s)
Chang Kwon ParkSanghoon Jheon
Keimyung Author(s)
Park, Chang Kwon
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
European Journal of Cardio-Thoracic Surgery
Issued Date
2002
Volume
21
Issue
5
Abstract
Objectives: The purpose of this retrospective study is to analyze the results of the surgical treatment for pulmonary aspergilloma and to
confirm that aggressive surgical resection can provide effective outcome for these patients. Patients and method: From 1987 to 2000, 110
patients underwent thoracotomy for treatment of pulmonary aspergilloma in two hospitals. The most common indication for operation was
hemoptysis (82%). Underlying diseases were tuberculosis (89%), bronchiectasis (5%), carcinoma (3%), lung tumor (1%) and none (2%). The
procedures were lobectomy (74%), segmentectomy (12%), wedge resection (9%), pneumonectomy (4%) and cavernoplasty in two patients.
Twenty-nine patients (26%) had severe underlying intrathoracic pathologies. Results: Postoperative complications occurred in 23.6% of the
patients including: empyema ðn ¼ 13Þ, bleeding ðn ¼ 6Þ, respiratory insufficiency ðn ¼ 2Þ, wound infection ðn ¼ 4Þ and bronchopleural
fistula ðn ¼ 1Þ. There was one hospital death due to panperitonitis after gastric ulcer perforation. Conclusions:We recommend early surgical
resection of symptomatic aspergilloma and even asymptomatic cases with reasonable complication. q 2002 Elsevier Science B.V. All rights
reserved.
Keywords: Pulmonary aspergilloma; Hemoptysis; Surgery
Keimyung Author(s)(Kor)
박창권
Publisher
School of Medicine
Citation
Chang Kwon Park and Sanghoon Jheon. (2002). Results of surgical treatment for pulmonary aspergilloma. European Journal of Cardio-Thoracic Surgery, 21(5), 918–923. doi: 10.1016/S1010-7940(02)00104-5
Type
Article
ISSN
1010-7940
Source
https://academic.oup.com/ejcts/article/21/5/918/507948
DOI
10.1016/S1010-7940(02)00104-5
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35669
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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