title: Cavernoscopic removal of a fungus ball for pulmonary complex aspergilloma.
abstract: 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.
authors.affiliation: Department of Thoracic Surgery, Kanazawa Medical University, Uchinada, Ishikawa, Japan. sagawam@kanazawa-med.ac.jp
authors.forename: Motoyasu
authors.initials: M
authors.lastname: Sagawa
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sakuma
authors.forename: Tsugimasa
authors.initials: T
authors.lastname: Isobe
authors.forename: Makoto
authors.initials: M
authors.lastname: Sugita
authors.forename: Yuko
authors.initials: Y
authors.lastname: Waseda
authors.forename: Hideo
authors.initials: H
authors.lastname: Morinaga
authors.forename: Keiji
authors.initials: K
authors.lastname: Iuchi
mesh_terms: 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
chemical_list: D000935:Antifungal Agents