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Cavernostomy x resection for pulmonary aspergilloma: a 32-year history

, : Cavernostomy x resection for pulmonary aspergilloma: a 32-year history. Journal of Cardiothoracic Surgery 6(): 129-129

The most adequate surgical technique for the treatment of pulmonary aspergilloma is still controversial. This study compared two groups of patients submitted to cavernostomy and pulmonary parenchyma resection. Cases of pulmonary aspergilloma operated upon between 1979 and 2010 were analyzed retrospectively. Group 1 consisted of patients submitted to cavernostomy and group 2 of patients submitted to pulmonary parenchyma resection. The following variables were compared between groups: gender, age, number of hospitalizations, pre- and postoperative length of hospital stay, time of follow-up, location and type of aspergilloma, preoperative symptoms, underlying disease, type of fungus, preoperative pulmonary function, postoperative complications, patient progression, and associated diseases. A total of 208 patients with pulmonary aspergilloma were studied (111 in group 1 and 97 in group 2). Group 1 was older than group 2. The number of hospitalizations, length of hospital stay and time of follow-up were higher in group 1. Hemoptysis was the most frequent preoperative symptom in group 1. Preoperative respiratory malfunction was more severe in group 1. Hemorrhagic complications and recurrence were more frequent in group 1 and infectious complications and residual pleural space were more common in group 2. Postoperative dyspnea was more frequent in group 2. Patient progression was similar in the two groups. No difference in the other factors was observed between groups. Older patients with severe preoperative respiratory malfunction and peripheral pulmonary aspergilloma should be submitted to cavernostomy. The remaining patients can be treated by pulmonary resection.


PMID: 21974978

DOI: 10.1186/1749-8090-6-129

Other references

Fleming A.S.; Luebke C., 1981: Timidity prevents the virgin female rat from being a good mother emotionality differences between nulli parous and parturient females. In the 1st study, nulliparous and parturient female rats were tested daily for their responses to neonatal foster pups placed into the quadrant of the cage in which the adults were observed to spend most of their time on the previous day (designat...

Stoppa-Lyonnet, D.; Lenoir, G., 2005: Revocation of the BRCA1 patents by the European Office of Patents: a victory over a rights abuse. Bulletin du Cancer 92(4): 410-411

Bryant-Greenwood, G.D.; Greenwood, F.C., 2003: Greenwood memorial lecture: relaxin' Hawaii. Cellular and Molecular Biology 49(7): 1005-1008

Hebestreit, Hermann, 1934: Die Mechanik des menschlichen Korpers beim beidarmigen Gewichts-drucken und beidarmigen Gewichtsreissen. Small lamps affixed to various points of the body were photographed at different stages in the performance of 2 types of bodily exercise. The "beidarmigen Driicken" consisted in lifting a heavy weight bar up over the athlete's head;...

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van Tol, J., 1985: Notes on species of the genus Brachyptera Newport (Plecoptera) from the Netherlands and Switzerland. A re-examination of the Dutch material of the stonefly genus Brachyptera resulted in the establishment of B. braueri (Klapalek, 1900) (new to the Netherlands) and B. risi (Morton, 1896) an indigenous species, although both are now locally extinct....

Shimazaki, S.; Minami, T.; Tanaka, N.; Kawasaki, K.; Yamada, R., 1972: Problems of sulfamylon treatment for burns. Geka Chiryo. Surgical Therapy 26(5): 589-595

Hajnal Z.; Overton A., 1987: Reflection experiment on a floating ice platform. Geophysical Journal of the Royal Astronomical Society: , Pages 201-207. 1987.

McPhee, I.B.; Swanson, C.E., 1998: The surgical management of degenerative lumbar scoliosis. Posterior instrumentation alone versus two stage surgery. Twenty-one patients who underwent surgery for degenerative scoliosis were retrospectively reviewed. Eleven patients underwent staged anterior and posterior surgery. Ten patients had a single posterior procedure. Posterior instrumentation to the sa...

Levi-Montalcini, R.; Caramia, F.; Angeletti, P.U., 1969: Alterations in the fine structure of nucleoli in sympathetic neurons following NGF-antiserum treatment. Brain Research 12(1): 54-73