[Surgical treatment of pulmonary aspergilloma].
Invasive pulmonary aspergillosis is a life-threatening disease, developing from infection mostly by Aspergillus fumigatus. It is an opportunistic infection and occurs mostly in immunosuppressed patients, after tuberculosis, in patients with AIDS or malignomas. The most common symptom and complication is hemoptysis up to massive bleeding. Surgical treatment is obligatory on patients with a pulmonary aspergilloma. Time and form of intervention should be discussed between surgeon and pulmonologist. Resection should follow anatomical borders like lobectomy or pneumectomy. Any remaining intrathoracic cavities should be filled either with remaining lung tissue or with muscle flaps of latissimus or pectoralis muscle or omentum majus. Following these rules, intervention can be performed with reasonable mortality and morbidity rate.
Schulte
T
T
Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany.
Welcker
K
K
Schatz
J
J
Branscheid
D
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D001228:Aspergillosis / Q000175:diagnosis / Q000382:microbiology / Q000401:mortality / Q000601:surgery*; D001232:Aspergillus fumigatus; D005260:Female; D006801:Humans; D008172:Lung Diseases, Fungal / Q000175:diagnosis / Q000382:microbiology / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged