Possibilities of surgical treatment of pulmonary aspergillosis

Keywords: pulmonary aspergillosis; аspergilloma; resection; thoracoplasty

Abstract

Objective. To share own experience of surgical treatment of pulmonary aspergillosis.

Маterials and methods. Through last 10 years in the clinic 14 patients, suffering pulmonary aspergillosis, were treated. In 11 (78.6%) patients pulmonary aspergillosis was diagnosed, and in 3 (21.4%) - іnvasive aspergillosis after performance of pulmonary biopsy. Resection interventions were done in 8 (57.1%) patients, suffering aspergilloma. In 3 (21.4%) patients, in whom significant respiratory disorders existed, the operation was contraindicated. Average age of the patients have constituted (42.6 ± 15.7) years old. All the patients received specific antifungal therapy before and after the operation

Results. There were performed following operative interventions: 3 (37.5%) pleuropulmonectomies, 4 (50.0%) lobectomies, 1 (12.5%) typical resection of pyramid and right-sided S3а. In 1 (12.5%) woman patient intrapleural thoracoplasty was performed. Average duration of the operation was (235.6 ± 77.6) min, average intraoperative blood loss - (314 ± 331.9) ml.

Conclusion. Surgical treatment of pulmonary aspergillosis constitutes a complex task and has many unsolved issues. Systematization of own experience and experience of other investigations reported, permits to improve the treatment results.

Author Biographies

М. S. Оpanasenko, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Opanasenko Mykola Stepanovych - PhD, MD, Professor.,
chief of Thoracic Surgery and Invasive Diagnostic Methods Department,
F. G. Yanovskyi National Institute of Phthisiology and Pulmonology,
Ukraine, Kyiv, 10 Amosova str.,
opanasenko@ifp.kiev.ua
http://orcid.org/0000-0003-4071-2005

О. Е. Кshanovskyi, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Kshanovskyi Oleksii Eduardovych - PhD,
junior scientist of Thoracic Surgery and Invasive Diagnostic Methods Department,
F. G. Yanovskyi National Institute of Phthisiology and Pulmonology,
Ukraine, Kyiv, 10 Amosova str.,
+380667036503
kshanovsky@ifp.kiev.ua
http://orcid.org/0000-0002-8000-9675

B. М. Коnіk, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Konik Bohdan Mykolaiovych - PhD,
thoracic surgeon of Thoracic Surgery Departanent
F. G. Yanovskyi National Institute of Phthisiology and Pulmonology,
Ukraine, Kyiv, 10 Amosova str.,
http://orcid.org/0000-0001-9226-0173

О. V. Теreshkovych, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Tereshkovych Oleksandr Volodymyrovych - PhD,
senior scientist of Thoracic Surgery and Invasive Diagnostic Methods Department,
F. G. Yanovskyi National Institute of Phthisiology and Pulmonology,
Ukraine, Kyiv, 10 Amosova str.,
tereshkovich@ifp.kiev.ua
http://orcid.org/0000-0002-7202-295X

М. І. Каlenychenko, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Kalenychenko Maksym Ivanovych - PhD,
scientist of Thoracic Surgery and Invasive Diagnostic Methods Department,
F. G. Yanovskyi National Institute of Phthisiology and Pulmonology,
Ukraine, Kyiv, 10 Amosova str.,
http://orcid.org/0000-0003-0417-8191

L. І. Levanda, Yanovskyi National Institute of Phthisiatry and Pulmonology, Kyiv

Levanda Larysa Ivanivna –
anesthesiologist of Department of Anestesiology,
F. G. Yanovskyi National Institute of Phthisiology and Pulmonology,
Ukraine, Kyiv, 10 Amosova str.,
http://orcid.org/0000-0002-6302-2296.

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Published
2018-03-03
How to Cite
ОpanasenkoМ. S., КshanovskyiО. Е., КоnіkB. М., ТеreshkovychО. V., КаlenychenkoМ. І., & LevandaL. І. (2018). Possibilities of surgical treatment of pulmonary aspergillosis. Klinicheskaia Khirurgiia, 85(3), 20-22. https://doi.org/10.26779/2522-1396.2018.03.20
Section
General Problems of Surgery