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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Cavernostomy x Resection for Pulmonary Aspergilloma: A 32-Year History. | Cesar et al. Journal of Cardiothoracic Surgery 2011 6 129 http www.cardiothoracicsurgery.Org content 6 1 129 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Cavernostomy x Resection for Pulmonary Aspergilloma A 32-Year History Jorge MS Cesar Jose S Resende Nilson F Amaral Carla MS Alves Alyne F Vilhena and Frederico L Silva Abstract Background The most adequate surgical technique for the treatment of pulmonary aspergilloma is still controversial. This study compared two groups of patients submitted to cavernostomy and pulmonary parenchyma resection. Methods Cases of pulmonary aspergilloma operated upon between 1979 and 2010 were analyzed retrospectively. Group 1 consisted of patients submitted to cavernostomy and group 2 of patients submitted to pulmonary parenchyma resection. The following variables were compared between groups gender age number of hospitalizations pre- and postoperative length of hospital stay time of follow-up location and type of aspergilloma preoperative symptoms underlying disease type of fungus preoperative pulmonary function postoperative complications patient progression and associated diseases. Results A total of 208 patients with pulmonary aspergilloma were studied 111 in group 1 and 97 in group 2 . Group 1 was older than group 2. The number of hospitalizations length of hospital stay and time of follow-up were higher in group 1. Hemoptysis was the most frequent preoperative symptom in group 1. Preoperative respiratory malfunction was more severe in group 1. Hemorrhagic complications and recurrence were more frequent in group 1 and infectious complications and residual pleural space were more common in group 2. Postoperative dyspnea was more frequent in group 2. Patient progression was similar in the two groups. No difference in the other factors was observed between groups. Conclusions Older patients with severe preoperative respiratory malfunction and peripheral pulmonary aspergilloma should be submitted to .