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Lung India Official publication of Indian Chest Society  
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ORIGINAL ARTICLE
Year : 2017  |  Volume : 34  |  Issue : 4  |  Page : 318-323

Video-assisted thoracoscopic surgery for pulmonary aspergilloma


1 Centre for Chest Surgery, Sir Ganga Ram Hospital, New Delhi, India
2 Department of Infection Control, King Saud Medical City Hospital, Riyadh, Kingdom of Saudi Arabia
3 Department of Anaesthesiology and Pain Management, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Arvind Kumar
Room 2328, Super Speciality and Research Block, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.209232

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Introduction: Surgical management of pulmonary aspergilloma in symptomatic patients offers a significant chance of cure. Video-assisted thoracic surgery is a valid alternative for properly selected cases. We herein report our experience with thoracoscopic management of pulmonary aspergilloma. Patient and Methods: This retrospective analysis was performed on 41 patients operated between 2012 to 2015. The patient records were thoroughly analyzed for demography, clinical presentation, computed tomography , the procedure performed , post-operative complications and course during 6 month's follow up. Results: Out of total 41 patients, 23 (56%) were treated by VATS and 18 (44%) by thoracotomy. Average intraoperative blood loss was 214 ml (±106) in VATS group and 461 ml (±167) in thoracotomy. Mean operative time was 162 (±14) minutes in VATS and 239 (±12) minutes in thoracotomy group. In VATS group, postoperative complications were found in 5 patients and in 11 patients in the thoracotomy group. Average duration of chest tube was 5.43 () days in VATS group and 8.94 () days in thoracotomy group. Average length of hospital stay was 5.04 in VATS group and 6.55 days in thoracotomy group. Conclusions: VATS for pulmonary aspergilloma, if applicable, may be a safe and efficacious option in experienced hands. Simple aspergilloma, in particular , is considered to be a good indication for VATS. Some cases of complex aspergilloma may also be amenable to VATS. However, the long term results need to be further analyzed using a larger study group.


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