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Titolo:
Surgery for pulmonary aspergilloma in post-tuberculous vs. immuno-compromised patients
Autore:
Al-Kattan, K; Ashour, M; Hajjar, W; El Din, MS; Fouda, M; Al Bakry, A;
Indirizzi:
King Khalid Univ Hosp, Riyadh 11415, Saudi Arabia King Khalid Univ Hosp Riyadh Saudi Arabia 11415 yadh 11415, Saudi Arabia
Titolo Testata:
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
fascicolo: 4, volume: 20, anno: 2001,
pagine: 728 - 732
SICI:
1010-7940(200110)20:4<728:SFPAIP>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEUTROPENIC PATIENTS; SURGICAL-MANAGEMENT; RESECTION; PNEUMONECTOMY;
Keywords:
surgery; tuberculosis; aspergilloma;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Al-Kattan, K King Khalid Univ Hosp, POB 18097, Riyadh 11415, Saudi Arabia King Khalid Univ Hosp POB 18097 Riyadh Saudi Arabia 11415 ia
Citazione:
K. Al-Kattan et al., "Surgery for pulmonary aspergilloma in post-tuberculous vs. immuno-compromised patients", EUR J CAR-T, 20(4), 2001, pp. 728-732

Abstract

Objective: To compare the outcome of surgical resection for aspergilloma between patients with post-tuberculous complex and neutropenia. Methods: We retrospectively reviewed our surgical experience with pulmonary resection for aspergilloma in 30 patients. Of the 20 patients with complex aspergilloma complicating healed tuberculosis (group 1), 14 were male and six were female with an average age of 54 years (SD 7). The indication for surgery was recurrent haemoptysis in all and there were 17 lobectomies, two pneumonectomies and one bilateral lobectomy. There were ten patients with acute myeloid or lymphoid leukemia (group 2), six male and four female with an average age of 26 years (SD 4). Twelve lesions required lobectomy in eight and wedge excision in four. Results; In group I there was one postoperative death (5%), in a patient with massive haemoptysis and completely destroyed lungs with bilateral upper lobe aspergilloma secondary to pneumonia. Morbidity accounted for 25% (five patients), two required re-exploration for bleeding, two had prolonged air leak more than 7 days and one developed empyema. The later was treated with drainage and rib resection. One patient had recurrence of haemoptysis during the follow up period (mean 42 months). In group 2 there was no mortality or morbidity and six patients proceeded to bone marrow transplantation with no complication or recurrence. Conclusions: Surgicalresection for pulmonary aspergilloma in selected patients provides the best chance of cure. Pulmonary resection for post-tuberculous complex aspergilloma is associated with higher morbidity than resection for immuno-compromised patients. (C) 2001 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/06/20 alle ore 00:17:23