Pulmonary Aspergillosis

Johnson, J.

doi:10.1055/s-2007-1012705

Cited by 5 publications

(1 citation statement)

References 94 publications

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“…Opinion is divided on whether symptomless patients should have routine surgical resection' 11 1 or be treated medically. '4 There is no evidence that surgical resection improves prognosis except in patients with massive haemoptysis 18 and resection is complicated by a high rate of serious postoperative complications, 7 27 The difference in outcome may be related to the selection of cases for surgery.…”

Section: Resultsmentioning

confidence: 99%

Management of post-tuberculous complex aspergilloma of the lung: role of surgical resection.

Al-Majed

Ashour

El-Kassimi

et al. 1990

Thorax

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Of 14 patients with complex aspergilloma complicating healed tuberculosis, 12 underwent lobectomy or pneumonectomy for recurrent haemoptysis. No deaths occurred, though one patient needed re-exploration for bleeding. There was no postoperative worsening of dyspnoea despite a mean forced vital capacity (FVC) of 60% predicted for the patients undergoing surgery and of 20% predicted for two patients with severe restrictive defects, perhaps owing to the fact that there was little or no function in the resected part of the lung, as shown by preoperative isotope ventilation-perfusion scanning, and that patients were under the age of 50 and generally fit. There has been no recurrence of haemoptysis during follow up, which has been from 12 to 33 months. Surgical resection, provided that cases are carefully selected, offers the best chance of cure with low mortality and morbidity.

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Section: Resultsmentioning

confidence: 99%