Surgery for pulmonary aspergillosis

Surgery for pulmonary aspergillosis was evaluated in 20 patients who underwent surgery. These included pulmonary aspergillosis in 17, bronchial aspergillosis in 2 and pleural aspergillosis in 1, respectively. The operative procedures were mainly lobectomy and segmentectomy except for one in whom fenestration was carried out. With advances in development of drugs such as fluconazole and miconazole, surgical outcome was improved without any operative death related to surgery as far as healthy polmonary tissues are preserved. Nevertheless, it is emphasized that severity of preexisting disorder should be precisely assessed prior to surgery

Availability of Low Potassium UW Solution for a 24 Lung

A comparative study of preservation solution was made in a 24 hour storaged donor lung between original UW (University of Wisconsin) solution (k = 120mEq/l) and Low potassium UW (k = 30mEq/l) solution. Preservation of a donor lung with low potassium UW solution was superior to that with original UW solution in terms of static compliance and pulmonary vascular resistance. In conclusion, the use of low potassium UW solution is of great value to storage a donor lung

Surgery for Early Esophageal Carcinoma

Early esophageal carcinomas are clinicopathologically evaluated in 11 patients whose carcinomas are limited to the epithelium (ep) and the mucosa (mm). Most of ep and mm carcinomas were detected by mass-screening without any symptom. Even when mass examination for gastric lesion is attempted, precise examination of the esophagus should be made at the same time. It is assured that a ep and mm esophageal carcinoma ensured satisfactory outcome. It is emphasized that early detection is only a way to improve the surgical outcome of the treatment for esophageal carcinomas

Esophagectomy in Combination with a Resection of Involved Lung for Esophageal Cancer

The combined resection with involved lung for esophageal carcinoma was evaluated in terms of surgical indication and outcome in the 6 patients who underwent subtotal esophagectomy with pulmonary resection. It was confirmed that the operation was technically feasible but the surgical results were unsatisfactory. It was reasoned that grave surgical insult and adjuvant therapy to prevent recurrence result in immunodepressive status of the host and tends to accompany postoperative complications related to operative death. In conclusion, prevention of immunosuppression for the host is required by meticulous cares of nutrition and elimination of surgical stress by staged operation in order to obtain satisfactory result after surgery