Abstract
Abstract Pulmonary aspergillosis is a relatively rare disease and its management is sometimes difficult. Surgical resection is indicated in selected patients. We present a nationally unreported case (to the best of our knowledge) of VATS anatomical sublobar lung resection for isolated left upper lobe aspergilloma in a 55-year-old male with history of chronic pulmonary aspergillosis (CPNA). As adhesions prove to be a significant intra-operative obstacle, VATS segmentectomy can be ambitious, however this can be considered for simple aspergilloma in absence of severe pleural adhesions.
Highlights
Aspergillomas are inflammatory lung processes, and as such are often associated with intrathoracic adhesions [1]
Video-assisted thoracoscopic surgery (VATS) approaches have been successfully adopted for lobectomy and segmentectomy overseas [2]
We describe the first UK case of a video-assisted thoracoscopic surgery (VATS) left upper lobe trisegmentectomy for isolated aspergilloma
Summary
Aspergillomas (fungus balls) are inflammatory lung processes, and as such are often associated with intrathoracic adhesions [1]. Pleuro-parenchymal adhesions increase significantly the technical difficulty of segmental resections in aspergillomas. Video-assisted thoracoscopic surgery (VATS) approaches have been successfully adopted for lobectomy and segmentectomy overseas [2]. We describe the first UK case of a VATS left upper lobe trisegmentectomy for isolated aspergilloma.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
