title: Surgical management of pulmonary aspergilloma: clinical experience with 77 cases.
abstract: OBJECTIVE
  This retrospective study evaluated the clinical presentation, underlying lung disease, surgical indications, technique, treatment outcomes, and postoperative complications of pulmonary aspergilloma.
  
  
  METHODS
  We evaluated 77 patients who underwent pulmonary resection of an aspergilloma at Atatürk Chest Diseases and Thoracic Surgery Research and Training Hospital between January 2000 and December 2013. The initial operations were 4 pneumonectomies, 24 lobectomies, 9 lobectomy plus myoplasties, 10 segmental resections, and 30 wedge resections. Six reoperations were carried out to deal with postoperative complications: 1 myoplasty, 2 completion lobectomies plus myoplasties, 2 myoplasties with rib resections, and 1 completion lobectomy.
  
  
  RESULTS
  The subjects comprised 53 males (mean age: 44.26 (range: 10-73) years) and 24 females (mean age: 48.25 (range: 26-70) years). The most common indication for surgery was hemoptysis in 52 patients (67.53%). The most common underlying lung disease was tuberculosis in 37 patients (48.05%). Forty patients (51.94%) had a simple pulmonary aspergilloma and 37 (48.05%) had a complex pulmonary aspergilloma. Major complications occurred in 18 patients (23.37%). The postoperative mortality rate was 3.89%, with 3 patients dying.
  
  
  CONCLUSIONS
  Surgical resection of pulmonary aspergilloma is the best way to prevent recurrent hemoptysis with low morbidity and mortality.
authors.forename: Koray
authors.initials: K
authors.lastname: Aydoğdu
authors.forename: Funda
authors.initials: F
authors.lastname: İncekara
authors.forename: Mehmet Furkan
authors.initials: MF
authors.lastname: Şahin
authors.forename: Selim Şakir Erkmen
authors.initials: SŞ
authors.lastname: Gülhan
authors.forename: Göktürk
authors.initials: G
authors.lastname: Findik
authors.forename: İrfan
authors.initials: İ
authors.lastname: Taştepe
authors.forename: Sadi
authors.initials: S
authors.lastname: Kaya
mesh_terms: D000328:Adult; D005260:Female; D006469:Hemoptysis / Q000209:etiology / Q000401:mortality / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D055732:Pulmonary Aspergillosis / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology / Q000601:surgery; D012008:Recurrence; D012086:Reoperation / Q000379:methods*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology