Full thoracoscopic approach for surgical management of invasive pulmonary aspergillosis Dominique Gossot, MD, Pierre Validire, MD, Rosaire Vaillancourt,

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Presentation transcript:

Full thoracoscopic approach for surgical management of invasive pulmonary aspergillosis Dominique Gossot, MD, Pierre Validire, MD, Rosaire Vaillancourt, MD, Gérard Socié, MD, Hélène Esperou, MD, Agnes Devergie, MD, Philippe Guardiola, MD, Dominique Grunenwald, MD, Eliane Gluckman, MD, PhD, Patricia Ribaud, MD The Annals of Thoracic Surgery Volume 73, Issue 1, Pages 240-244 (January 2002) DOI: 10.1016/S0003-4975(01)03280-5

Fig 1 Typical aspect of an Aspergillus lesion invading the pleura and the intercostal space. An en bloc resection is done using ultrasonic dissection. The Annals of Thoracic Surgery 2002 73, 240-244DOI: (10.1016/S0003-4975(01)03280-5)

Fig 2 Aspect 1 month after a full thoracoscopic right upper lobectomy with wedge-resection of the lower lobe for invasive aspergillosis. (Lower arrows = port incisions; upper arrow = extraction incision.) The Annals of Thoracic Surgery 2002 73, 240-244DOI: (10.1016/S0003-4975(01)03280-5)

Fig 3 Thoracoscopic wedge resection of a subpleural invasive aspergillosis. Note that the fungal cavity is surrounded by a dense inflammation zone that can be infiltrated by fungal agents. This underlines the need for a large resection. The Annals of Thoracic Surgery 2002 73, 240-244DOI: (10.1016/S0003-4975(01)03280-5)