Surgery for aspergilloma: Time trend towards improved results!

Anne Lejay, Pierre-Emmanuel Falcoz, Nicola Santelmo, Olivier Helms, Evgenia Kochetkova, Mi-Young Jeung, Romain Kessler, Gilbert Massard.

Author address: 

1Pôle de Pathologie Thoracique, Nouvel Hôpital Civil, Strasbourg, France

Abstract: 

Background. Surgery of aspergilloma has been renowned to be technically challenging an to convey a high complication rate. In a previous report, we have demonstrated an improved outcome owing to a decrease of complex cases related to history of tuberculosis. We intended to evaluate wheter this time trend has been confirmed over the most recent years. Methods. We reviewed initial presentation and post-operative outcome of 33 patients who underwent a surgical treatment between 1998 and 2009. Results were compared with 2 previous reports by the same center (group 1: 55 patients from 1974 to 1991 ; group 2: 12 patients from 1992 to 1997). Results. Underlying disease was tuberculosis in 15% of patients only (57% in group 1, 17% in group 2), and 12% of patients had complex aspergillomas (80% in group 1, 41% in group 2). Postoperatively, there was no mortality (5% in group 1, 0% in group 2). Morbidity decreased progressively in terms of bleeding (44% in group 1, 9% in group 2, and 6% in recently accrued patients), of pleural space problems (47%, 18% and 12% respectively), and of prolonged hospital stay (32%, 8% and 6% respectively). Conclusion. The post-operative complications rate after resection has significantly decreased over the past 30 years. Contemporary surgery of aspergilloma is safe and offers satisfactory early and long term results.
2010

abstract No: 

P4840

Full conference title: 

20th European Respiratory Society conference
    • ERS 20th (2010)