title: Simplified cavernostomy using wound protector for complex pulmonary aspergilloma.
abstract: A 64-year-old man presented with dyspnea, chest pain, cough, expectoration, and continuous low-grade fever. Chest radiography and computed tomography revealed a right-sided, thick-walled cavity with diseased lung parenchyma, and sputum microscopy confirmed fungal forms of aspergillus. He subsequently developed a left-sided pneumonia caused by aspiration of the right-sided abscess. Because lung resection was considered too invasive, we performed simplified cavernostomy using the Alexis Wound Protector (XXS) using local anesthesia. In addition to the excellent drainage outcomes, this procedure was both simple and efficient. Moreover, the procedure was associated with less pain and physical limitation for the patient.
authors.affiliation: Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan. Electronic address: takeo521@hotmail.co.jp.
authors.forename: Takeo
authors.initials: T
authors.lastname: Nakada
authors.affiliation: Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Akiba
authors.affiliation: Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
authors.forename: Takuya
authors.initials: T
authors.lastname: Inagaki
authors.affiliation: Department of Surgery, Jikei University Hospital, Minatoku, Tokyo, Japan.
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Morikawa
authors.affiliation: Department of Surgery, Jikei University Hospital, Minatoku, Tokyo, Japan.
authors.forename: Takao
authors.initials: T
authors.lastname: Ohki
mesh_terms: D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D055732:Pulmonary Aspergillosis / Q000175:diagnosis / Q000601:surgery*; D013510:Pulmonary Surgical Procedures / Q000295:instrumentation*; D013902:Radiography, Thoracic; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D014057:Tomography, X-Ray Computed