Hospital-based retrospective analysis of 224 surgical cases of lung hydatid cyst from southern Iran

Shahriarirad, Reza; Erfani, Amirhossein; Ebrahimi, Kamyar; Rastegarian, Mohammad; Eskandarisani, Mehrdad; Ziaian, Bizhan; Sarkari, Bahador

doi:10.1186/s13019-023-02327-w

Cited by 3 publications

(2 citation statements)

References 52 publications

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“…According to the World Health Organization, human cystic echinococcosis is one of the most important neglected zoonoses and represents a serious socio-economic problem in many parts of the world [2]. Important morbidity and mortality due to CE were reported, especially in developing countries [33]. Human echinococcosis was reported in most European countries except Denmark, Iceland, and Ireland [34].…”

Section: Discussionmentioning

confidence: 99%

Cystic Echinococcosis in Hospitalized Adult Patients from Western Romania: 2007–2022

Paduraru,

Lupu,

Sima

et al. 2023

Microorganisms

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Cystic echinococcosis (CE) is a neglected parasitic disease caused by the tapeworm Echinococcus granulosus. The aim of this study was to assess the epidemiological features of human cystic echinococcosis in patients from Western Romania. We retrospectively investigated the medical records of patients hospitalized with CE between 1 January 2007 and 1 September 2022. A total of 366 patients (range 18–90 years) were recorded. The number of hospitalized individuals was higher in patients aged 50–59 years (83/366, 22.7%), in females (194/366, 53%), and in residents of rural areas (225/366, 61.5%). The liver was the most common localization of the cysts (302/366, 82.5%). Ninety-eight patients (26.8%) presented complications, including biliary fistula, allergies, and infection of the cyst. Patients with complications had a longer mean hospital stay (15.7 ± 8.3 days) compared to patients without complications (11.5 ± 7.3 days) (p < 0.001). The results of this study revealed that patients diagnosed with CE required hospitalization and extended medical care, indicating that this zoonotic disease remains a significant public health problem in Western Romania. Public health authorities should enhance CE surveillance by implementing control programs and mandatory notification of new cases.

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Section: Discussionmentioning

confidence: 99%

Cystic Echinococcosis in Hospitalized Adult Patients from Western Romania: 2007–2022

Paduraru,

Lupu,

Sima

et al. 2023

Microorganisms

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“…At present, surgery is the most common treatment option for lung hydatid cysts 5 . The most common surgical procedure for lung hydatid cysts is cystectomy with capitonnage.…”

Section: Introductionmentioning

confidence: 99%

Comparison of cystectomy and lobectomy of lung hydatid cyst in pediatrics: a retrospective study

Behnia,

Shojaeian,

Mazandarani

et al. 2024

Annals of Medicine &Amp; Surgery

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Objective: Hydatid cyst is an endemic disease in Iran. The treatment of choice for pediatric lung hydatid cysts is surgical removal of the cyst. However, due to its high prevalence the risk of recurrence after the surgery, cystectomy with capitonnage, which preserves the lung tissue, is a favorable surgical approach compared to lobectomy. Herein, we compared the outcome of cystectomy and lobectomy of lung hydatid cysts. Methods & Materials: This is a retrospective study conducted in the pediatric surgery department. Pediatric patients who had undergone surgery due to pulmonary hydatid cysts were enrolled. The patients were divided into two groups including cystectomy and non-anatomic lobectomy. Then, the length of surgery, length of hospitalization, postoperative complications, and the time required to remove the chest tube were calculated in each group. Results: A total of 32 patients were enrolled in this retrospective study. Age, sex, location, and size of cysts were not significantly different between the two groups. The duration of surgery in the lobectomy and cystectomy groups was 116.3±33.7 versus 116.1±28.2 minutes, respectively (P=0.53). Surgery complications including the need for blood transfusion, pneumothorax, need for bronchoscopy and atelectasis were not different between the study groups. The mean time for first chest tube removal was significantly different between the groups with the lobectomy group having a shorter time (P=0.02). The length of hospital and ICU stay were not different between the two surgical procedures. The time to remove the first chest tube was significantly higher in cystectomy compared to lobectomy (P=0.02). Conclusion: The complications and outcome of the cystectomy are comparable to the lobectomy technique. However, the cystectomy method has the advantage of preserving the lung tissue, therefore it’s a favorable technique in endemic areas for hydatid cysts where reoperation may be indicated.

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Factors Associated with Hospital Length of Stay in Patients with Thoracic Hydatid Cyst Disease Undergoing Surgical Intervention: A Retrospective Study

ershadi,

Salehi,

Roostaei

et al. 2024

Preprint

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Background Hydatid cyst (HC) frequently affects the lungs, making it the second most common site after the liver. This Study evaluating clinical characteristics, surgical approaches, complications, lab findings, and factors influencing hospital LOS in patients with pulmonary hydatid cysts requiring surgery. Methods This retrospective observational study enrolled adult patients who underwent surgery for lung HC between 2017 and 2021. Data were collected using a standardized checklist that included demographics, medical history, laboratory findings, treatment details, surgical characteristics, and risk factors. The primary outcome was LOS. Potential influencing factors included demographics, preoperative symptoms, albendazole use, cyst location and size, extrapulmonary involvement, surgical approach, laboratory findings, and postoperative complications. Results A retrospective analysis of 214 patients with pulmonary hydatid cysts identified a male predominance (59.3%; median age, 36 years). Most patients (58.9%) were aged 20–40 and resided in urban areas (65.4%). A history of dog exposure was reported in 25.2% of patients, right lower lobe involvement (51.4%), and synchronous liver cysts in 13.6% of patients. Elevated erythrocyte sedimentation rate (ESR), positive serology, eosinophilia, prolonged air leak (> 5 days), and fever predicted longer hospital stays. Cough (39.3%) was the most common symptom. Cystotomy with capitonnage (95.8%) was the dominant surgical approach. Conclusions This study identified elevated ESR, eosinophilia, positive serology, air leak persisting beyond 5 days, and fever as independent predictors of prolonged hospital stay.

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Hospital-based retrospective analysis of 224 surgical cases of lung hydatid cyst from southern Iran

Cited by 3 publications

References 52 publications

Cystic Echinococcosis in Hospitalized Adult Patients from Western Romania: 2007–2022

Cystic Echinococcosis in Hospitalized Adult Patients from Western Romania: 2007–2022

Comparison of cystectomy and lobectomy of lung hydatid cyst in pediatrics: a retrospective study

Factors Associated with Hospital Length of Stay in Patients with Thoracic Hydatid Cyst Disease Undergoing Surgical Intervention: A Retrospective Study

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