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Bronchopulmonary aspergilloma: a reappraisal
A Chatzimichalis1, G Massard, R Kessler
1Department of Thoracic Surgery, Hôpitaux Universitaires de Strasbourg, France.
The Annals of Thoracic Surgery
|May 16, 1998
Summary
Outcomes for aspergilloma surgery have improved, with fewer patients having prior tuberculosis. This study found decreased complications like bleeding and shorter hospital stays in recent cases.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Infectious Diseases
Background:
- Aspergilloma surgery traditionally had higher complication rates in patients with tuberculosis sequelae.
- Declining tuberculosis incidence suggests a rise in aspergilloma cases among non-tuberculous patients.
- This shift necessitates re-evaluation of surgical outcomes for aspergilloma.
Purpose of the Study:
- To assess if operative outcomes for aspergilloma have improved in recent years.
- To compare outcomes in patients without a history of tuberculosis.
Main Methods:
- A retrospective analysis of 12 recent aspergilloma surgery cases.
- Comparison with a historical control group of 55 patients from the same center.
- Evaluation of postoperative mortality, morbidity (bleeding, space problems), and hospital stay.
Main Results:
- Only 17% of recent patients had a history of tuberculosis, versus 57% in the historical group.
- No postoperative mortality was observed in the recent cohort.
- Major morbidity significantly decreased: bleeding (44% to 9%), space problems (47% to 18%), and prolonged hospital stay (32% to 9%).
Conclusions:
- Surgical outcomes for aspergilloma show a positive trend.
- Improved results are linked to a lower incidence of aspergilloma in tuberculous cavities.
- This suggests better patient management and surgical success in contemporary aspergilloma treatment.