P-179VIDEO-ASSISTED THORACOSCOPIC SURGERY FOR PULMONARY ASPERGILLOMA IN CHILDREN WITH CANCER

• Published in: Interactive cardiovascular and thoracic surgery 2014-06, Vol.18 (suppl_1), p.S47-S47
• Main Authors: Anastasiou, Nikolaos, Hardavella, G., Katsipoulakis, A., Mpaka, K., Kosmidou, E., Panagopoulos, N.
• Format: Article
• Language: English
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1093/icvts/ivu167.179

Objectives: Evaluation of patients outcome and clinical effectiveness of video-assisted thoracoscopic resection (VATS) of pulmonary aspergilloma in children with cancer. Methods: We studied retrospectively all children diagnosed with cancer who underwent a VATS resection of pulmonary aspergilloma. Medical records, imaging and pathology tests were thoroughly reviewed and patients were followed up in the thoracic outpatient clinic. Results: During 2009-2011, 6 children (3 males, 3 females) with a solid diagnosis of cancer and a mean age of 11.7 years (range 11-16), underwent VATS resection (wedge resection/segmentectomy) of a pulmonary aspergilloma. Children's history of active cancer was as follows: 1 Hodgkin's disease, 1 Ewing's sarcoma, 2 acute lymphoblastic and 2 acute myeloblastic leukemia. Aspergillus species was grown in 5/6 and Fusarium in 1/6. VATS resection was combined with antifungals pre- and postoperatively. No procedure related complications were recorded. Mean hospital stay was 6.7 days. Sixteen month follow-up showed no Aspergillus recurrence. During that time, 1/6 patients died due to this main sinister pathology. Conclusions: VATS resection of pulmonary aspergilloma in children is a safe minimal invasive technique that assures clinical results equal to open thoracotomy while minimizing patient's burden. It could be proposed as the procedure of choice in the immunocompromised paediatric population. Disclosure: No significant relationships.