Brief original scientific report: a new surgical approach for the treatment of left pulmonary and hepatic hydatid disease

Abstract

This combined treatment of pulmonary and hepatic hydatid cysts by the left-sided thoracic approach is feasible and provides a good outcome. It should be indicated under the same conditions of accessibility and feasibility applied for the right thoracic side.

Pulmonary Hydatid Cyst

“…El objetivo del tratamiento quirúrgico es eliminar de manera segura el parasito y tratar las lesiones pulmonares causadas por el parasito. 1,5,6,7 El tratamiento quirúrgico puede implicar la extirpación del quiste únicamente o la resección del quiste con el parénquima circundante. En la actualidad muchos centros optan por el mantenimiento del parénquima pulmonar tanto como sea posible, recurriendo a la cistostomía, enucleación del quiste intacto o eliminación después de la aspiración con aguja.…”

Cystic Echinococcosis: With Emphasis on Treatment Options

“…Cystic echinococcosis (CE), also known as hydatid disease, is an important zoonotic parasitic disease with public health significance caused by the larval stages of the cestode Echinococcus granulosus [1,2]. It causes characteristic cystic lesions most commonly found in the liver and lungs, but it can arise anywhere in the body [3,4]. Humans as accidental or aberrant intermediate host are infected either by direct contact with dogs or by consumption of water or foods contaminated with feces of dogs containing eggs of parasite [4,5].…”

“…It causes characteristic cystic lesions most commonly found in the liver and lungs, but it can arise anywhere in the body [3,4]. Humans as accidental or aberrant intermediate host are infected either by direct contact with dogs or by consumption of water or foods contaminated with feces of dogs containing eggs of parasite [4,5]. Although CE is endemic in developing and tropical countries in South America, Africa, Mediterranean countries and the Middle East, it has a worldwide geographical distribution [2,4,6].…”

“…Humans as accidental or aberrant intermediate host are infected either by direct contact with dogs or by consumption of water or foods contaminated with feces of dogs containing eggs of parasite [4,5]. Although CE is endemic in developing and tropical countries in South America, Africa, Mediterranean countries and the Middle East, it has a worldwide geographical distribution [2,4,6]. The diagnosis is made by a set of diagnostic methods including certain serologic and laboratory tests including immunofluorescency (IF), enzyme-linked immunosorbent assay (ELISA), and imaging or scanning techniques such as abdominal ultrasound (US), X-ray, computed tomography (CT) and magnetic resonance imaging (MRI) [7][8][9][10].…”

“…The low morbidity and zero recurrence in liver, taking into account the short follow-up, suggest that radical techniques should be considered the therapeutic option of choice whenever feasible [13]. Currently, surgery remains the most common method for CE treatment that lead to complete cure, but it involves risks including anaphylactic reactions, secondary CE due to spillage of viable parasite (protoscoleces) materials and those associated with any surgical intervention [4,8].…”