Korean J Thorac Cardiovasc Surg.  1999 Mar;32(3):281-286.

Analysis of Surgical Risk Factors in Pulmonary Aspergilloma

• Kim YH
• Lee ES
• Park SI
• Kim DK
• Kim HJ
• Jung JP
• Sohn KH

Abstract

BACKGROUND: The purpose of this study is to analyze the types of complications, the incidences of complications, and preoperative and postoperative risk factors affecting the incidence of the complication. MATERIAL AND METHOD: Between August 1990 and August 1997 in Asan Medical Center, 42 patients(24 men and 18 women) underwent surgical resection for pulmonary aspergilloma. The mean age was 46.6+/-11.5 years(range 29 to 69 years). Hemoptysis(90%) was the most common presentation. Pulmonary tuberculosis was the most common predisposing cause(81%). The associated diseases were bronchiectasis(n=11), active puolmonary tuberculosis(n=9), diabetes mellitus(n=8), lung carcinoid(n=1), and acute myeloblastic leukemia(n=1). Lobectomy was done in 32 cases(76%), segmentectomy or wedge resection in 4, pneumonectomy in 2, and lobectomy combined with segmentectomy in 4. RESULT: Operative mortality was 2%. The most common postoperative complication was persistent air leakage(n=6). The variables such as age, sex, pulmonary function test, amount and duration of hemoptysis, associated diseases(diabetes mellitus, active pulmonary tuberculosis), mode of preoperative management(steroid, antifungal agent, bronchial arterial embolization), and modes of operative procedures were statistically insignificant. The radiologic extent of infiltration to normal lung parenchyme was statistically significant(p=0.04).
CONCLUSION
We conclude that the extent of the infiltration to normal lung parenchyme in preoperative radiologic studies should be carefully evaluated to reduce the postoperative complications in surgery for pulmonary aspergilloma.

Keyword

Aspergillosis ( asperyilloma ); Lung surgery

MeSH Terms

Chungcheongnam-do
Granulocyte Precursor Cells
Hemoptysis
Humans
Incidence
Lung
Male
Mastectomy, Segmental
Mortality
Pneumonectomy
Postoperative Complications
Respiratory Function Tests
Risk Factors*
Surgical Procedures, Operative
Tuberculosis, Pulmonary