*Corresponding author:
H Harmouchi Hicham, Thoracic surgery department, CHU Hassan II of Fez-MoroccoReceived: September 26, 2018; Published: October 05, 2018
DOI: 10.26717/BJSTR.2018.09.001837
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Introduction: Pulmonary aspergilloma is the colonization by a fungus of the genus Aspergillus fumigatus in a pulmonary cavity most often preexisting of tuberculous origin. Surgery is the basic treatment with anatomical lung resection. However, wedge resection is possible especially in simple aspergilloma. The purpose of this study is to report the indications to perform wedge resection and compare it to the literature review.
Material and Methods: This is a retrospective study, done within our department of thoracic surgery over a period of 8 years, collecting all the patients who had a pulmonary aspergilloma, and whose intervention was a wedge resection.
Result: It was 11 men and one woman, with an average age of 44.5 years. The history of pulmonary tuberculosis was found in 7 patients (58.3%). Hemoptysis was present in all patients (100%). The radiological assessment showed right-sided involvement in 7 patients (58.3%), and on the left in 5 patients (41.6%), with an image excavated in 5 patients (41.6%). nodular lesion in 4 patients (33.3%), and a excavated lesion with air crescend in 3 patients (25%). With the exception of one patient who was treated with video-assisted thoracic surgery, the approach was conservative posterolateral thoracotomy in all patients. The intervention was by wedge resection in all patients. The postoperative course was simple in all patients. The mean follow-up was 2.5 years, marked by a recurrence of hemoptysis in a single patient who had been treated with embolization.
Conclusion: In pulmonary aspergilloma, wedge resection presents an important alternative to anatomical resections in the case of small and peripheral aspergilloma.
Keywords: Hemoptysis; Tuberculosis; Thoracic Surgery
Abstract | Introduction | Material and Methods| Results| Discussion| Conclusion| References|