Author/Authors :
Bagheri, Reza Thoracic Surgeon - Lung Disease Research Center - Mashhad University of Medical Sciences , Haghi, Ziaollah Thoracic Surgeon - Lung Disease Research Center - Mashhad University of Medical Sciences , Afghani, Reza Department of General Surgery - 5th of Azar Hospital - Faculty of Medicine - Golestan University of Medical Sciences , Mohammadzadeh Lari, Shahrzad Lung Disease Research Center - Mashhad University of Medical Sciences , Azmounfar, Vahab Student Research Committee - Faculty of Medicine - Mashhad University of Medical Sciences , Hakimian, Saeed Mashhad University of Medical Sciences , Baradaran Firoozabadi, Mohammad Mashhad University of Medical Sciences , Lotfian, Elham Lung Disease Research Center - Imam Reza Hospital - Mashhad University of Medical Sciences
Abstract :
Introduction: Surgical approaches for the management of pulmonary aspergilloma have been accompanied with high levels of morbidity and mortality. However, these therapeutic options are still favored over other approaches for the treatment of pulmonary aspergilloma. The present study was conducted to describe the characteristics of 30 patients with aspergilloma who referred to Ghaem Hospital in Mashhad, Iran, during 2017-2018.
Material and Methods: This retrospective study was conducted on 30 patients (i.e., 21 males and 9 females) with pulmonary aspergilloma who were treated via surgery. The patients were examined based on their age, gender, clinical symptoms prior to surgery, affected pulmonary lobe, surgical method, and postoperative complications.
Results: The mean age of the patients was 48.13±5.2 years. Hemoptysis (90%) was the most common symptom of pulmonary aspergilloma, followed by productive cough and drug-resistant pneumonia. The most common problematic lobes included left upper lobe and right upper lobe. Regarding the surgical method, 21 and 9 patients underwent lobectomy and segmentectomy, respectively. After the surgery, residual space, wound infection, and bronchopleural fistula were observed in 5 (16.7%), 3 (10%), and 2 (6.7%) cases, respectively. Furthermore, only one patient passed away.
Conclusion: As the findings indicated, the methods of surgery (i.e., lobectomy and segmentectomy) were effective in the treatment of pulmonary aspergilloma.
