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Complex Pulmonary Aspergilloma: Surgical Challenges in a Third World Setting
Joint Authors
Ngo Nonga, Bernadette
Pefura-Yone, Eric-Walter
Jemea, Bonaventure
Ngahane, Hugo B. Mbatchou
Bang, Guy Aristide
Savom, Eric
Ze, Jean Jacques
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-01-14
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Surgery for pulmonary aspergilloma (PA), especially complex forms, is greatly challenging in a resource-poor setting such as Cameroon.
We report our experience of surgical management of PA in this environment.
Method.
We prospectively assessed patients who underwent surgery for PA from January 2012 to May 2015, at the University Hospital Center of Yaoundé.
Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures, and outcomes.
The study has received approval from the institutional ethics committees.
Results.
In total, 20 patients (17 males and 3 females (sex ratio, 5.66); mean age, 30 years; range, 23–65 years) with a past history of tuberculosis were assessed.
The median follow-up was 21.5 months.
The primary symptom was hemoptysis, followed by cough and chest pain.
All patients underwent surgical treatment and lung resection.
Postoperative complications (bleeding, air leak, empyema, and severe anemia) occurred in 4 patients and 1 patient died.
Although 3 patients were lost to follow-up, the survival rate was 80% with improvement of the preoperative symptoms.
Conclusion.
Although surgery for complex aspergilloma is very challenging in environments such as ours, we believe that it is the best treatment modality for symptomatic diseases in our setting.
American Psychological Association (APA)
Ngo Nonga, Bernadette& Bang, Guy Aristide& Jemea, Bonaventure& Savom, Eric& Pefura-Yone, Eric-Walter& Ngahane, Hugo B. Mbatchou…[et al.]. 2018. Complex Pulmonary Aspergilloma: Surgical Challenges in a Third World Setting. Surgery Research and Practice،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1214811
Modern Language Association (MLA)
Ngo Nonga, Bernadette…[et al.]. Complex Pulmonary Aspergilloma: Surgical Challenges in a Third World Setting. Surgery Research and Practice No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1214811
American Medical Association (AMA)
Ngo Nonga, Bernadette& Bang, Guy Aristide& Jemea, Bonaventure& Savom, Eric& Pefura-Yone, Eric-Walter& Ngahane, Hugo B. Mbatchou…[et al.]. Complex Pulmonary Aspergilloma: Surgical Challenges in a Third World Setting. Surgery Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1214811
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1214811