title: Surgery for aspergilloma: time trend towards improved results?
abstract: Surgery of aspergilloma has been renowned to be technically challenging and has a high complication rate. We have already demonstrated an improved outcome as a result of a reduction in complex cases related to history of tuberculosis. In this paper we will evaluate whether this time trend has continued during recent years. Initial presentation and postoperative outcome of 33 patients who underwent surgical treatment between 1998 and 2009 were reviewed and compared with two previous reports (group 1: 55 patients from 1974 to 1991; group 2: 12 patients from 1992 to 1997). Underlying disease was tuberculosis in 15% of patients (57% in group 1, 17% in group 2), and 12% of patients had complex aspergillomas (80% in group 1, 41% in group 2). Postoperatively, there was no mortality (5% in group 1, 0% in group 2). Morbidity decreased progressively in terms of bleeding (44% in group 1, 9% in group 2, and 6% in recently, accrued patients), of pleural space problems (47%, 18% and 12%, respectively), and of prolonged hospital stay (32%, 8% and 6%, respectively). With a decreased postoperative complications rate after resection, contemporary surgery of aspergilloma is safe and offers satisfactory early and long-term results.
authors: Department of Thoracic Surgery, NHC, Strasbourg, France.
authors: Anne
authors: A
authors: Lejay
authors: Pierre-Emmanuel
authors: PE
authors: Falcoz
authors: Nicola
authors: N
authors: Santelmo
authors: Olivier
authors: O
authors: Helms
authors: Evgenia
authors: E
authors: Kochetkova
authors: My
authors: M
authors: Jeung
authors: Romain
authors: R
authors: Kessler
authors: Gilbert
authors: G
authors: Massard
mesh_terms: D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D055732:Pulmonary Aspergillosis / Q000401:mortality / Q000601:surgery*; D013510:Pulmonary Surgical Procedures / Q000009:adverse effects / Q000401:mortality / Q000639:trends; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult