Completely Video-assisted Thoracopic Surgery for Pulmonary Aspergilloma: A Case Control Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

FUYi-li ,  LIHui , HUBin , LITong , MIAOJin-bai

Department of Thoracic Surgery, Beijing Chaoyang Hospital Affiliated China Capital Medical University, Beijing 100020, P.R.China;

Corresponding author：

LIHui, Email: huilee@vip.sina.com

Keywords：

Thoracoscope; Pneumonectomy; Pulmonary aspergilloma

DOI：

10.7507/1007-4848.20150144

Video：

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Objective To discuss the possibility and safety of video-assisted thoracoscope surgery for pulmonary aspergilloma. Methods We retrospectively analyzed the clinical data of 39 patients with pulmonary aspergilloma in Beijing Chaoyang Hospital between June 2009 and May 2014. The patients were divided into two groups according to their operation method including a conventional thoracotomy surgery group (open group, n=11) and a video-assisted thoracoscope pneumonectomy group (VATS group, n=28). There were 8 male patients and 3 female patients with age of 29-64 (50.7±9.7) years in the open group. There were 13 male patients and 15 female patients with age of 20-75 (55.4±15.3) years in the VATS group. We compared clinical effectiveness between the two groups. Results The operations of all patients were performed successfully. There were statistical differences between the two groups in the average length of operative time (P=0.001), the loss of intraoperative blood (P=0.005), and the score of pain (P=0.001). There was no statistical difference in lead flow of postoperative chest (P>0.05) and the time of hospitalization (P>0.05). Conclusion Video-assisted thoracoscope surgery in the treatment of pulmonary aspergilloma could be feasible, safe, and effective based on our study. It is worth of clinical application and popularization．

Citation： FUYi-li, LIHui, HUBin, LITong, MIAOJin-bai. Completely Video-assisted Thoracopic Surgery for Pulmonary Aspergilloma: A Case Control Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(6): 564-568. doi: 10.7507/1007-4848.20150144 Copy

1.	Gorenstein LA, Sonett JR. The surgical management of stage I and stage II lung cancer. Surg Oncol Clin N Am, 2011, 20(4): 701-720.
2.	Goldstraw P, Ball D, Jett JR, et al. Non-small-cell lung cancer. Lancet, 2011, 378(9804): 1727-1740.
3.	Park JS, Kim K, Choi MS, et al. Video-assisted thoracic surgery (vats) lobectomy for pathologic stage I non-small cell lung cancer: A comparative study with thoracotomy lobectomy. Korean J Thorac Cardiovasc Surg, 2011, 44(1): 32-38.
4.	Pabst S, Krüger M, Skowasch D, et al. Pulmonary aspergillosis: therapeutic management and prognostic factors from 16 years of monocenter experience. Adv Exp Med Biol, 2013, 755: 225-236.
5.	Chen QK, Jiang GN, Ding JA. Surgical treatment for pulmonary aspergilloma: a 35-year experience in the Chinese population. Interact Cardiovasc Thorac Surg, 2012, 15(1): 77-80.
6.	Pagès PB, Grima R, Mordant P, et al. Does antifungal therapy influence postoperative morbidity or long-term survival after surgical resection for pulmonary aspergilloma? Rev Pneumol Clin, 2014, 70(6): 322-328.
7.	Cucchetto G, Cazzadori A, Conti M, et al.Treatment of chronic pulmonary aspergillosis with voriconazole: review of a case series. Infection. 2014 Nov 29. [Epub ahead of print].
8.	Patterson KC, Strek ME. Diagnosis and treatment of pulmonary aspergillosis syndromes. Chest, 2014, 146(5): 1358-1368.
9.	Martinez D, Ananda-Rajah MR, Suominen H, et al. Automatic detection of patients with invasive fungal disease from free-text computed tomography (CT) scans. J Biomed Inform, 2015, 53: 251-260.
10.	Oliva A, Flori P, Hennequin C, et al. Evaluation of the Aspergillus Western blot IgG kit for diagnosis of chronic aspergillosis. J Clin Microbiol, 2015, 53(1): 248-254.
11.	Kawamura S, Maesaki S, Tomono K, et al. Clinical evaluation of 61 patients with pulmonary aspergilloma. Intern Med, 2000, 39(3): 209-212.
12.	Barberán J, Mensa J.Invasive pulmonary aspergillosis in patients with chronic obstructive pulmonary disease. Rev Iberoam Micol, 2014, 31(4): 237-241.
13.	Schulte T, Welcker K, Schatz J, et al . Surgical treatment of pulmonary aspergilloma. Mycoses, 2005, 48(Suppl 1): 46-50.
14.	刘伦旭. 胸腔镜肺癌切除:多样化的手术切口和流程. 医学与哲学( 临床决策论坛版), 2011, 32(9): 11-13.
15.	Nagahiro I, Andou A, Aoe M, et al. Pulmonary function, postoperative pain, and serum cytokine level after lobectomy: a comparison of VATS and conventional procedure. Ann Thorac Surg, 2001, 72(2): 362-365.
16.	Pan TW, Wu B, Xu ZF, et al. Video-assisted thoracic surgery versus thoracotomy for non-small-cell lung cancer. Asian Pac J Cancer Prev, 2012, 13(2): 447-450.
17.	Li Y, Wang J. Comparison of clinical outcomes for patients with clinical N0 and pathologic N2 non-small cell lung cancer after thoracoscopic lobectomy and open lobectomy: a retrospective analysis of 76 patients. J Surg Oncol, 2012, 106(4): 431-435.
18.	Flores RM, Ihekweazu UN, Rizk N, et al. Patterns of recurrence and incidence of second primary tumors after lobectomy by means of video-assisted thoracoscopic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg, 2011, 141(1): 59-64.
19.	王君, 徐美清. 单中心全胸腔镜肺叶切除200 例临床分析. 中国微创外科杂志, 2014, 14(1): 19-21.
20.	余捍东, 李善平, 赵晶, 等. 电视胸腔镜手术与开胸手术治疗创伤性血气胸的疗效分析. 中国胸心血管外科临床杂志, 2013,20(1): 116-118.
21.	叶仕新, 徐驰, 刘道明, 等. 全电视胸腔镜下肺叶切除术156 例报告. 中国微创外科杂志, 2012,12(2):157-159.
22.	Villamizar NR, Darrabie MD, Burfeind WR, et al. Thoracoscopic lobectomy is associated with lower morbidity compared with thoracotomy. J Thorac Cardiovasc Surg, 2009, 138(2): 419-425.
23.	Yan TD, Black D, Bannon PG, et al．Systematic review and metaanalysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol, 2009, 27(15): 2553-2562.

1. Gorenstein LA, Sonett JR. The surgical management of stage I and stage II lung cancer. Surg Oncol Clin N Am, 2011, 20(4): 701-720.
2. Goldstraw P, Ball D, Jett JR, et al. Non-small-cell lung cancer. Lancet, 2011, 378(9804): 1727-1740.
3. Park JS, Kim K, Choi MS, et al. Video-assisted thoracic surgery (vats) lobectomy for pathologic stage I non-small cell lung cancer: A comparative study with thoracotomy lobectomy. Korean J Thorac Cardiovasc Surg, 2011, 44(1): 32-38.
4. Pabst S, Krüger M, Skowasch D, et al. Pulmonary aspergillosis: therapeutic management and prognostic factors from 16 years of monocenter experience. Adv Exp Med Biol, 2013, 755: 225-236.
5. Chen QK, Jiang GN, Ding JA. Surgical treatment for pulmonary aspergilloma: a 35-year experience in the Chinese population. Interact Cardiovasc Thorac Surg, 2012, 15(1): 77-80.
6. Pagès PB, Grima R, Mordant P, et al. Does antifungal therapy influence postoperative morbidity or long-term survival after surgical resection for pulmonary aspergilloma? Rev Pneumol Clin, 2014, 70(6): 322-328.
7. Cucchetto G, Cazzadori A, Conti M, et al.Treatment of chronic pulmonary aspergillosis with voriconazole: review of a case series. Infection. 2014 Nov 29. [Epub ahead of print].
8. Patterson KC, Strek ME. Diagnosis and treatment of pulmonary aspergillosis syndromes. Chest, 2014, 146(5): 1358-1368.
9. Martinez D, Ananda-Rajah MR, Suominen H, et al. Automatic detection of patients with invasive fungal disease from free-text computed tomography (CT) scans. J Biomed Inform, 2015, 53: 251-260.
10. Oliva A, Flori P, Hennequin C, et al. Evaluation of the Aspergillus Western blot IgG kit for diagnosis of chronic aspergillosis. J Clin Microbiol, 2015, 53(1): 248-254.
11. Kawamura S, Maesaki S, Tomono K, et al. Clinical evaluation of 61 patients with pulmonary aspergilloma. Intern Med, 2000, 39(3): 209-212.
12. Barberán J, Mensa J.Invasive pulmonary aspergillosis in patients with chronic obstructive pulmonary disease. Rev Iberoam Micol, 2014, 31(4): 237-241.
13. Schulte T, Welcker K, Schatz J, et al . Surgical treatment of pulmonary aspergilloma. Mycoses, 2005, 48(Suppl 1): 46-50.
14. 刘伦旭. 胸腔镜肺癌切除:多样化的手术切口和流程. 医学与哲学( 临床决策论坛版), 2011, 32(9): 11-13.
15. Nagahiro I, Andou A, Aoe M, et al. Pulmonary function, postoperative pain, and serum cytokine level after lobectomy: a comparison of VATS and conventional procedure. Ann Thorac Surg, 2001, 72(2): 362-365.
16. Pan TW, Wu B, Xu ZF, et al. Video-assisted thoracic surgery versus thoracotomy for non-small-cell lung cancer. Asian Pac J Cancer Prev, 2012, 13(2): 447-450.
17. Li Y, Wang J. Comparison of clinical outcomes for patients with clinical N0 and pathologic N2 non-small cell lung cancer after thoracoscopic lobectomy and open lobectomy: a retrospective analysis of 76 patients. J Surg Oncol, 2012, 106(4): 431-435.
18. Flores RM, Ihekweazu UN, Rizk N, et al. Patterns of recurrence and incidence of second primary tumors after lobectomy by means of video-assisted thoracoscopic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg, 2011, 141(1): 59-64.
19. 王君, 徐美清. 单中心全胸腔镜肺叶切除200 例临床分析. 中国微创外科杂志, 2014, 14(1): 19-21.
20. 余捍东, 李善平, 赵晶, 等. 电视胸腔镜手术与开胸手术治疗创伤性血气胸的疗效分析. 中国胸心血管外科临床杂志, 2013,20(1): 116-118.
21. 叶仕新, 徐驰, 刘道明, 等. 全电视胸腔镜下肺叶切除术156 例报告. 中国微创外科杂志, 2012,12(2):157-159.
22. Villamizar NR, Darrabie MD, Burfeind WR, et al. Thoracoscopic lobectomy is associated with lower morbidity compared with thoracotomy. J Thorac Cardiovasc Surg, 2009, 138(2): 419-425.
23. Yan TD, Black D, Bannon PG, et al．Systematic review and metaanalysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol, 2009, 27(15): 2553-2562.

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Completely Video-assisted Thoracopic Surgery for Pulmonary Aspergilloma: A Case Control Study

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