Thoracoscopic lingulectomy for invasive pulmonary aspergillosis.
Invasive pulmonary aspergillosis (IPA) is associated with a high mortality rate in immunocompromised patients. Surgery has a therapeutic role for selected patients when the main objective is to achieve infection control with minimal lung resection. Large or deep-seated lesions may require an anatomic resection such as segmentectomy, lobectomy, or pneumonectomy. Thoracoscopic lobectomy has been described as a treatment of localized IPA; however, thoracoscopic anatomic segmentectomy has not been reported until now. Herein, we describe a case of thoracoscopic lingulectomy for localized IPA in an immunocompromised patient: this operation minimized the delay in resuming therapy for the patient's underlying acute myeloid leukemia. Video-assisted thoracoscopic segmentectomy can be safely performed for localized IPA.
Whitson
Bryan A
BA
Department of Surgery, Section of Thoracic and Foregut Surgery, University of Minnesota, Minneapolis, Minnesota 55455, USA.
Maddaus
Michael A
MA
Andrade
Rafael S
RS
D000368:Aged; D001228:Aspergillosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008172:Lung Diseases, Fungal / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted