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Good long-term outcomes after surgical treatment of simple and complex pulmonary aspergilloma
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Young Tae | - |
dc.contributor.author | Kang, Moon Chul | - |
dc.contributor.author | Sung, Sook Whan | - |
dc.contributor.author | Kim, Joo Hyun | - |
dc.date.accessioned | 2009-11-25T22:51:56Z | - |
dc.date.available | 2009-11-25T22:51:56Z | - |
dc.date.issued | 2004-12-29 | - |
dc.identifier.citation | Ann Thorac Surg. 2005 Jan;79(1):294-8. | en |
dc.identifier.issn | 1552-6259 (Electronic) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15620961 | - |
dc.identifier.uri | https://hdl.handle.net/10371/15477 | - |
dc.description.abstract | BACKGROUND: The long-term outcomes of pulmonary aspergilloma have been known to depend on the underlying lung disease. We analyzed the surgical long-term outcomes for both simple and complex aspergilloma. METHODS: From 1981 to 1999, 90 surgical procedures were performed on 88 patients with pulmonary aspergilloma. The patients included 44 men and 44 women with a median age of 41 years (range, 12 to 69 years). The underlying lung diseases in the 72 complex aspergilloma cases were 57 tuberculosis (65%), 14 bronchiectases (16%), and 1 emphysema (1.1%). Sixteen (18%) had no underlying lung disease. The procedures performed were 52 lobectomies, 33 segmentectomies or wedge resections, 3 pneumonectomies, and 2 cavernostomies. RESULTS: One case of operative mortality (1.1%) occurred in complex aspergilloma. Among the other patients, 24 complications developed (27%): 11 prolonged air leaks (longer than 7 days), 7 persistent spaces, 3 postoperative bleedings, 2 empyemas, 2 pneumonias, and 1 wound infection. Risk factor analysis revealed old age and complex aspergilloma as significant risk factors for postoperative complication. One simple and 13 complex aspergilloma patients died during the follow-up period. Only 4 deaths were caused by pulmonary problems. The 10-year actuarial survival rates of simple and complex aspergilloma were 80.0% and 79.6%, respectively. There was no difference between the long-term survival of simple and complex aspergilloma. CONCLUSIONS: Although the postoperative morbidity rate was higher in complex aspergilloma, surgical treatment for both simple and complex aspergilloma could achieve satisfactory long-term outcomes in selected groups of patients. | en |
dc.language.iso | en | - |
dc.publisher | Elsevier | en |
dc.subject | Adolescent | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Aspergillosis/complications/mortality/*surgery | en |
dc.subject | Bronchiectasis/complications | en |
dc.subject | Cause of Death | en |
dc.subject | Child | en |
dc.subject | Female | en |
dc.subject | Hemoptysis/etiology/mortality | en |
dc.subject | Humans | en |
dc.subject | Life Tables | en |
dc.subject | Lung Diseases, Fungal/complications/mortality/*surgery | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Neoplasms/mortality | en |
dc.subject | Pneumonia/mortality | en |
dc.subject | Postoperative Complications/mortality | en |
dc.subject | Recurrence | en |
dc.subject | Retrospective Studies | en |
dc.subject | Treatment Outcome | en |
dc.subject | Tuberculosis, Pulmonary/complications | en |
dc.subject | Pneumonectomy/methods/mortality/statistics & numerical data | - |
dc.title | Good long-term outcomes after surgical treatment of simple and complex pulmonary aspergilloma | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 김용태 | - |
dc.contributor.AlternativeAuthor | 강문철 | - |
dc.contributor.AlternativeAuthor | 성숙환 | - |
dc.contributor.AlternativeAuthor | 김주현 | - |
dc.identifier.doi | 10.1016/j.athoracsur.2004.05.050 | - |
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