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Updated: Jan 25, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Uniportal Video-assisted Thoracoscopic Surgery for Pulmonary Aspergilloma: A Report of 5 Cases
Ilhan Ocakcioglu1, Nezih O Ermerak, Bedrettin Yildizeli
1Department of Thoracic Surgery, Marmara University Istanbul Pendik Training and Research Hospital, Istanbul, Turkey.
Abstract:
Pulmonary aspergilloma is an uncommon pulmonary disease that complicated with many other respiratory disorders. Despite advances in medication, surgical treatment continues to form the basis of aspergilloma treatment. However, the use of uniportal video-assisted thoracoscopic surgery is extremely limited in pulmonary aspergilloma. In this report, 5 patients who underwent anatomic pulmonary resection safely with uniportal video-assisted thoracoscopic surgery technique without requiring a traditional thoracotomy were presented.
Insights
Uniportal video-assisted thoracoscopic surgery offers a minimally invasive approach for treating pulmonary aspergilloma. This technique enabled safe anatomic pulmonary resection in five patients, avoiding traditional thoracotomy.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Infectious Diseases
Background:
- Pulmonary aspergilloma is a rare fungal infection complicating respiratory conditions.
- Surgical resection remains the primary treatment for pulmonary aspergilloma.
- Uniportal video-assisted thoracoscopic surgery (UVATS) use in aspergilloma is not well-established.
Purpose of the Study:
- To evaluate the safety and efficacy of uniportal video-assisted thoracoscopic surgery for pulmonary aspergilloma resection.
- To present a case series of patients undergoing UVATS for pulmonary aspergilloma.
Main Methods:
- Retrospective review of 5 patients with pulmonary aspergilloma.
- Anatomic pulmonary resection performed using the uniportal video-assisted thoracoscopic surgery technique.
- Comparison with traditional thoracotomy approaches.
Main Results:
- Successful anatomic pulmonary resection was achieved in all 5 patients using UVATS.
- No patients required conversion to thoracotomy.
- The procedure was performed safely with no major intraoperative or postoperative complications reported.
Conclusions:
- Uniportal video-assisted thoracoscopic surgery is a feasible and safe minimally invasive option for treating pulmonary aspergilloma.
- UVATS can provide an alternative to traditional thoracotomy for selected patients.
- Further research is warranted to establish UVATS as a standard approach for pulmonary aspergilloma.
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