Surgical treatment of mycotic lung diseases

Eighteen cases of mycotic lung disease, which included 17 pulmonary aspergillosis and one cryptococcosis, were treated surgically. Lobectomy was performed in 4, segmentectomy in 1, partial resection of lung in 4, cavernostomy in 2, open window thoracotomy in 4 and exploratory thoracotomy in 1. The a...

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Published in[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Vol. 37; no. 12; p. 2502
Main Authors Shirakura, T, Motonaga, R, Yoshimine, K, Ueda, H, Takata, S, Yamasaki, S, Takachi, T
Format Journal Article
LanguageJapanese
Published Japan 01.12.1989
Subjects
Adult
Aged
Aspergillosis - surgery
Empyema - surgery
Evaluation Studies as Topic
Female
Humans
Lung Diseases, Fungal - surgery
Male
Middle Aged
Omentum - transplantation
Pneumonectomy - methods
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Summary:Eighteen cases of mycotic lung disease, which included 17 pulmonary aspergillosis and one cryptococcosis, were treated surgically. Lobectomy was performed in 4, segmentectomy in 1, partial resection of lung in 4, cavernostomy in 2, open window thoracotomy in 4 and exploratory thoracotomy in 1. The authors would like to emphasize following points; 1) Of eighteen, cases, there were five patients over 70 years old and results of surgery in those were uneventful. 2) Two cases developed the postoperative empyema which was caused by the remnant lesion invaded with aspergillus fumigotus. From this experience it was considered that in the invasive aspergillosis the limited resection of the lesion was not recommended because of its local recurrence. 3) Omentopexy was effective for the treatment of mycotic empyema.
ISSN:0369-4739