Hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplasty
Abstract Background In high-risk patients with complex pulmonary aspergilloma but unable for lung resection, cavernostomy and thoracoplasty could be performed. This study aimed to evaluate this surgery compared two compressing materials. Methods A total of 63 in high-risk patients who suffered from...
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| Language: | English |
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BMC
2019-12-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-019-0650-1 |
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| author | Nguyen Truong Giang Le Tien Dung Nguyen Thanh Hien Truong Thanh Thiet Phan Sy Hiep Nguyen The Vu Dinh Cong Pho Nguyen Van Nam Pham Ngoc Hung |
| author_facet | Nguyen Truong Giang Le Tien Dung Nguyen Thanh Hien Truong Thanh Thiet Phan Sy Hiep Nguyen The Vu Dinh Cong Pho Nguyen Van Nam Pham Ngoc Hung |
| author_sort | Nguyen Truong Giang |
| collection | DOAJ |
| description | Abstract Background In high-risk patients with complex pulmonary aspergilloma but unable for lung resection, cavernostomy and thoracoplasty could be performed. This study aimed to evaluate this surgery compared two compressing materials. Methods A total of 63 in high-risk patients who suffered from hemoptysis due to complex pulmonary aspergilloma and underwent cavernostomy and thoracoplasty surgery from November 2011 to September 2018 at Pham Ngoc Thach hospital were evaluated prospectively studied. Patients were allocated to two groups: the table tennis ball group and tissue expander group. We evaluated at the time of before operation, 6 months and 24 months after operation. Results Tuberculosis was the most common comorbidity diseases in both groups. Upper lobe occupied almost in location. Hemoptysis symptoms plunged from time to time. Statistically significant Karnofsky score was observed in both groups. Postoperative pulmonary functions (FVC and FEV1) have remained in both groups at all time points. The remarkable results were no deaths related to surgery and low complications both short and long-term. There was no statistical significance between two groups in operative time, blood loss during operation, ICU length-stay time. Four patients died because of co-morbidity in 24 months follow-up. Conclusion Cavernostomy and thoracoplasty was safe and effective surgery for the treatment of complex pulmonary aspergilloma with hemoptysis in high-risk patients. No mortality related to surgery and low complications were recorded. The was no inferiority when compared two compressing materials . |
| first_indexed | 2024-12-13T18:51:35Z |
| format | Article |
| id | doaj.art-fd05f60b17134c1b934130bbfd19ad85 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-13T18:51:35Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-fd05f60b17134c1b934130bbfd19ad852022-12-21T23:34:56ZengBMCBMC Surgery1471-24822019-12-011911810.1186/s12893-019-0650-1Hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplastyNguyen Truong Giang0Le Tien Dung1Nguyen Thanh Hien2Truong Thanh Thiet3Phan Sy Hiep4Nguyen The Vu5Dinh Cong Pho6Nguyen Van Nam7Pham Ngoc Hung8Department of Cardiothoracic Surgery, Military Hospital 103, Vietnam Military Medical UniversityDepartment of Thoracic Surgery, Pham Ngoc Thach HospitalDepartment of Thoracic Surgery, Pham Ngoc Thach HospitalDepartment of Thoracic Surgery, Pham Ngoc Thach HospitalDepartment of Thoracic Surgery, Pham Ngoc Thach HospitalDepartment of Thoracic Surgery, Pham Ngoc Thach HospitalFaculty of Medicine, Vietnam Military Medical UniversityDepartment of Cardiothoracic Surgery, Military Hospital 103, Vietnam Military Medical UniversityDepartment of Epidemiology, Vietnam Military Medical UniversityAbstract Background In high-risk patients with complex pulmonary aspergilloma but unable for lung resection, cavernostomy and thoracoplasty could be performed. This study aimed to evaluate this surgery compared two compressing materials. Methods A total of 63 in high-risk patients who suffered from hemoptysis due to complex pulmonary aspergilloma and underwent cavernostomy and thoracoplasty surgery from November 2011 to September 2018 at Pham Ngoc Thach hospital were evaluated prospectively studied. Patients were allocated to two groups: the table tennis ball group and tissue expander group. We evaluated at the time of before operation, 6 months and 24 months after operation. Results Tuberculosis was the most common comorbidity diseases in both groups. Upper lobe occupied almost in location. Hemoptysis symptoms plunged from time to time. Statistically significant Karnofsky score was observed in both groups. Postoperative pulmonary functions (FVC and FEV1) have remained in both groups at all time points. The remarkable results were no deaths related to surgery and low complications both short and long-term. There was no statistical significance between two groups in operative time, blood loss during operation, ICU length-stay time. Four patients died because of co-morbidity in 24 months follow-up. Conclusion Cavernostomy and thoracoplasty was safe and effective surgery for the treatment of complex pulmonary aspergilloma with hemoptysis in high-risk patients. No mortality related to surgery and low complications were recorded. The was no inferiority when compared two compressing materials .https://doi.org/10.1186/s12893-019-0650-1Complex pulmonary Aspergilloma (CPA)HemoptysisCavernostomyThoracoplastyTable tennis ballsTissue expander |
| spellingShingle | Nguyen Truong Giang Le Tien Dung Nguyen Thanh Hien Truong Thanh Thiet Phan Sy Hiep Nguyen The Vu Dinh Cong Pho Nguyen Van Nam Pham Ngoc Hung Hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplasty BMC Surgery Complex pulmonary Aspergilloma (CPA) Hemoptysis Cavernostomy Thoracoplasty Table tennis balls Tissue expander |
| title | Hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplasty |
| title_full | Hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplasty |
| title_fullStr | Hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplasty |
| title_full_unstemmed | Hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplasty |
| title_short | Hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplasty |
| title_sort | hemoptysis from complex pulmonary aspergilloma treated by cavernostomy and thoracoplasty |
| topic | Complex pulmonary Aspergilloma (CPA) Hemoptysis Cavernostomy Thoracoplasty Table tennis balls Tissue expander |
| url | https://doi.org/10.1186/s12893-019-0650-1 |
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