Experience with video-assisted thoracoscopic removal of pulmonary hydatid cysts in children

Hydatidosis is an endemic disease caused by Echinococcus granulosus. Humans are accidental intermediate hosts. In children, it affects the lung in 64% of cases and the liver in 28%. Renal involvement is uncommon (2-4%). We operated 7 years old girl with renal and hepatic hydatidosis laparoscopically. Hydatid cyst should be kept as one of differential diagnosis while managing cystic disease of any organ in the body. To the best of our knowledge this is the first case of renal hydatidosis with hepatic hydatidosis that has been managed laparoscopically. Laparoscopic surgery is safe and efficacious in managing multiorgan hydatid disease in children.

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“…15 It offers the advantages of less pain, rapid recovery, less short-term and long-term morbidity, and good cosmoses.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of renal and hepatic hydatidosis in a child: a case report and review of literature

2017

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“…The pericyst is thinner in children than in adults, so children were reported to respond to medical treatment better than adults [3,16,17]. As mentioned before, we routinely administered an antihelmintic medication at the time of diagnosis and at least 1 week before the surgical intervention.…”

Section: • Dokumcu Et Al Thoracoscopy Vs Thoracotomy In the Treatmementioning

confidence: 99%

“…Indications for surgical intervention in PHC include large pulmonary cysts that rarely respond to medical treatment, and recurrence after medical therapy and drug side effects [4]. According to our protocol, we routinely operated only cysts larger than 5 cm, which may have affected our outcome compared to thoracoscopical studies with favorable results [3,5,9]. Thoracoscopy was performed in 8 patients and thoracotomy in 18.…”

Section: • Dokumcu Et Al Thoracoscopy Vs Thoracotomy In the Treatmementioning

confidence: 99%

“…Echinococcosis can involve any organ, with the liver being most commonly affected, followed by the lungs [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…This may be the reason for its limited use even in adults. PubMed search of "hydatid cyst, thoracoscopy, and children" reveals 21 results with only 4 case studies that include more than 5 patients and a few case reports for pediatric population since 1994 [3,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Thoracoscopic Treatment of Pulmonary Hydatid Cysts May Have a High Morbidity Risk in Children: Retrospective Analysis

et al. 2017

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Objective: Thoracoscopic treatment of pulmonary hydatid cyst (PHC) has been considered to be a good treatment option in both children and adults for nearly 25 years. However, there have been very few pediatric studies published during this period. Our goal is to review our results and evaluate the efficiency of thorascopy in pediatric patients. Materials and Methods:The medical records of patients with PHC who were surgically treated between 2005 and 2015 were reviewed. As all cysts larger than 5 cm in diameter were surgically removed, cysts less than 5 cm in diameter were medically treated and were not included in the study. Demographics, cyst characteristics, and operative/postoperative data were compared between patients who underwent thorascopy (thoracoscopy group) and patients who underwent thoracotomy (thoracotomy group). Chi-square and ttest were used for statistical analysis where appropriate.Results: There were 26 consecutive children (14 girls, 12 boys; mean age 9.4±2.7) included in the study. Except for 2 incidentally diagnosed patients, all were symptomatic, 4 had multifocal lesions, and multiorgan involvement was detected in 11 patients. Thoracoscopy was performed in 10 patients, and conversion was necessary in 2 patients due to unsuccessful fistula ligation attempts. The thoracoscopy group included 8 thoracoscopically treated patients, and remaining patients constituted the thoracotomy group (n=18).Comparison of preoperative characteristics of the groups was insignificant, whereas the overall complication rate (residual bronchial fistula, prolonged air leak, pneumothorax, and localized air cyst) and median hospital stay were significantly higher in the thoracoscopy group. There was no mortality and no recurrence at the postoperative follow-up after 37.4 months. Conclusion:The thoracoscopic approach to PHC may have a high risk of conversion and postoperative complication rate. Thoracotomy in children still seems to be the approach of choice for PHC larger than 5 cm. Routine thoracoscopic hydatid cyst treatment is yet far from being the gold standard, whereas thoracoscopy may be preferred in selected patients.Keywords: Pulmonary hydatid cyst, thoracoscopy, thoracotomy, child ÖZ Amaç: Akciğer kist hidatiği tedavisinde torakoskopinin iyi bir alternatif olduğu 25 yıl önce belirtilmesine rağ-men bu konuda çocuklarda çok az yayın mevcuttur. Bu çalışmada bu konudaki sonuçlarımızın gözden geçiril-mesi ve çocuk serilerinin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntem: 2005-2015 arasında akciğer kist hidatiği tanısıyla tedavi edilen olguların hastane kayıtları geriye dönük olarak incelendi. Kist çapı 5 cm' den küüçük olan olgular medikal olarak tedavi edildiği için dahil edilmedi. Demografik veriler, özellikleri, ameliyat ve sonrası bulgular araştırılarak torakoskopik tedavi edilen (Torakoskopi grubu) ve torakotomi ile tedavi edilen (Torakotomi grubu) olgular karşılaştırıldı. Sonuçlar istatiksel olarak ki-kare ve t-test ile değerlendirildi.Bulgular: Yaş ortalaması 9,4±2,7 yıl olan 26 ardışık olgu (...

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Endobronchial echinococcosis presenting as non‐resolving pneumonia

Lev-Tzion

Goldbart

2011

Pediatric Pulmonology

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Summary Hydatid disease of the lungs is caused by larval cysts of the Echinococcus tapeworm. Pulmonary cysts may occasionally invade bronchi or pleura as a result of coughing, trauma or elevated intra-abdominal pressure. We present the case of a patient evaluated for non-resolving pneumonia whose radiographic and bronchoscopic findings were strikingly similar to those seen in pulmonary tuberculosis with endobronchial invasion; he was ultimately diagnosed with pulmonary echinococcosis. This case underscores the importance of considering unusual diagnoses even when typical features of more common conditions are present.

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Experience with video-assisted thoracoscopic removal of pulmonary hydatid cysts in children

Cited by 27 publications

References 18 publications

Laparoscopic management of renal and hepatic hydatidosis in a child: a case report and review of literature

Laparoscopic management of renal and hepatic hydatidosis in a child: a case report and review of literature

Thoracoscopic Treatment of Pulmonary Hydatid Cysts May Have a High Morbidity Risk in Children: Retrospective Analysis

Endobronchial echinococcosis presenting as non‐resolving pneumonia

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