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Updated: Aug 18, 2026

Histological Quantification to Determine Lung Fungal Burden in Experimental Aspergillosis
Published on: March 9, 2018
[True and false problems in surgery of pulmonary aspergilloma. Study of 220 cases (author's transl)]
Abstract:
Different problems involved in the surgery of 220 cases of pulmonary aspergilloma are analyzed. The operatory blood loss, which was more abundant than usual, did not bring about any complication. The authors believe that pleural cavities were observed for only 6% of the partial excisions, probably because of the complementary thoracoplasties they performed. The true problem is raised by the patients suffering from respiratory failure for whom techniques of direct approach are the only solution.
Insights
Surgery for pulmonary aspergilloma in 220 cases showed manageable blood loss. Direct surgical approaches are crucial for patients with respiratory failure undergoing pulmonary aspergilloma treatment.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Mycology
Context:
- Pulmonary aspergilloma presents complex surgical challenges.
- Analysis of 220 surgical cases provides insights into managing this fungal lung infection.
Purpose:
- To analyze surgical problems and outcomes in pulmonary aspergilloma.
- To evaluate the efficacy of different surgical techniques, including thoracoplasties.
- To identify optimal surgical strategies for patients with respiratory compromise.
Summary:
- Surgical intervention for 220 pulmonary aspergilloma cases revealed that increased operative blood loss did not lead to complications.
- Pleural cavities were observed in only 6% of partial excisions, likely due to complementary thoracoplasties.
- Direct surgical approaches are essential for managing patients with respiratory failure.
Impact:
- Highlights the safety of managing blood loss during pulmonary aspergilloma surgery.
- Suggests thoracoplasties may reduce the need for pleural cavity observation post-excision.
- Emphasizes the critical role of direct surgical techniques for improving outcomes in respiratory failure patients with aspergilloma.

