Cavernoscopic removal of a fungus ball for pulmonary complex aspergilloma.
Lobectomy of the lung for aspergilloma is not always appropriate in elderly patients because of the high surgical risk. A 78-year-old male diagnosed with complex aspergilloma was referred to our hospital for recurrent hemoptysis. Because he refused lobectomy, we conducted a cavernoscopic removal of the fungus ball. The site of the skin incision was carefully designed preoperatively. After achieving access, the fungus ball was removed piece by piece under endoscopic view. Intraoperative blood loss equaled 30 mL. At 5 months postoperative follow-up, the patient had no evidence of recurrence. This procedure may be useful in some patients with complex aspergilloma.
Sagawa
Motoyasu
M
Department of Thoracic Surgery, Kanazawa Medical University, Uchinada, Ishikawa, Japan. sagawam@kanazawa-med.ac.jp
Sakuma
Tsutomu
T
Isobe
Tsugimasa
T
Sugita
Makoto
M
Waseda
Yuko
Y
Morinaga
Hideo
H
Iuchi
Keiji
K
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D001228:Aspergillosis / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D003131:Combined Modality Therapy; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008172:Lung Diseases, Fungal / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D008297:Male; D013906:Thoracoscopy
D000935:Antifungal Agents