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.

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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