{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:01:42Z","timestamp":1787166102864,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T00:00:00Z","timestamp":1612742400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To evaluate the efficacy and safety of surgical treatment of tuberculosis destroyed lung (TDL), and the influence of chronic pulmonary aspergillosis (CPA) on the outcomes of surgical treatment of TDL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of 113 patients with TDL who underwent surgical treatment from January 2005 to December 2019. Among them, 30 of these cases were complicated with CPA. The patients were divided into two groups: TDL group and TDL\u2009+\u2009CPA group. We analyzed the effectiveness and safety of surgical treatment of TDL, and further compared the effectiveness and safety of surgical treatment of TDL with or withoutthe presence of CPA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The TDL\u2009+\u2009CPA group had a significantly higher age (\n                      <jats:italic>P<\/jats:italic>\n                      =0.003), symptoms of hemoptysis (\n                      <jats:italic>P<\/jats:italic>\n                      =0.000), and a higher proportion of patients with preoperative serum albumin &lt;30\u00a0g\/L (\n                      <jats:italic>P<\/jats:italic>\n                      =0.014) as compared with TDL group. For all enrolled patients, the incidence of severe postoperative complications was 12.4% (14\/113) and the postoperative mortality within 30\u00a0days after discharge was 4.4% (5\/113). 86.7% (98\/113) of the patients recovered and discharged, the incidence of severe postoperative complications in the TDA\u2009+\u2009CPA group was higher than that of TDL group (23.3% vs 8.4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.034), although there was no difference in mortality between the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20091.000). A binary logistic regression analysis showed that the independent risk factors for severe postoperative complications were male (OR 25.24, 95% CI 2.31\u2013275.64;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.008) and age\u2009\u2265\u200940 years (OR 10.34, 95% CI 1.56\u201368.65;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.016).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Surgical treatment for patients with TDL is effective with an acceptable mortality rate whether or not the disease is complicated with CPA. The independent risk factors identified for severe postoperative complications in patients with TDL were male and\u2009\u2265\u200940 years old. It implies that when treating patients with TDA\u2009+\u2009CPA, particular attention should be paid to these patients who have these independent risk factors to avoid a poor outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-021-05969-w","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T17:52:05Z","timestamp":1612893125000},"page":"1595-1601","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The Efficacy and Safety of Surgical Treatment for Patients With Tuberculosis Destroyed Lung With or Without Chronic Pulmonary Aspergillosis"],"prefix":"10.1002","volume":"45","author":[{"given":"Hongyun","family":"Ruan","sequence":"first","affiliation":[{"name":"Cardiopulmonary Function Department Beijing Chest Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changfan","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Beijing Chest Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2888-6742","authenticated-orcid":false,"given":"Jinxiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Critical Care Medicine Beijing Luhe Hospital, Capital Medical University Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,8]]},"reference":[{"issue":"2","key":"e_1_2_6_2_1","first-page":"574","article-title":"Pneumonectomy in children for destroyed lung and the long\u2010term consequences","volume":"126","author":"Eren S","year":"2003","journal-title":"J ThoracCardiovascSurg"},{"issue":"2","key":"e_1_2_6_3_1","first-page":"272","article-title":"Factors affecting complication rates of pneumonectomy in destroyed lung","volume":"26","author":"Kosif MA","year":"2018","journal-title":"Turk GogusKalpDamarCerrahisiDerg"},{"issue":"8","key":"e_1_2_6_4_1","first-page":"e1008742","article-title":"Post\u2010tuberculosis chronic pulmonary aspergillosis: An emerging public health concern","volume":"16","author":"Bongomin F","year":"2020","journal-title":"PLoSPathog"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.089441"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","unstructured":"PageID ByanyimaR HosmaneSet al. 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