Is Anatomic Lung Resection Necessary in Surgical Treatment of Giant Lung Hydatid Cysts in Childhood?

Önal, Ömer; Demir, Ömer

doi:10.5761/atcs.oa.17-00023

Cited by 16 publications

(26 citation statements)

References 22 publications

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“…In our study there was a predilection to the left lung 58% of the cases followed by bilateral hydatid cysts. This finding is dissimilar to other authors' finding [3]. Surgery was the prefer mode of treatment namely PAIR + removal of the endocyst layer and partial capitonnage on a drain tube.…”

Section: Discussioncontrasting

confidence: 99%

“…The commonest complication in our study was bronchial communication 87.5% and rupture in the pleural space resulting in empyema. Similar complication was reported by Omer et al [3], Solak et al [7], and Onal [3]. The resolution of the cysts occurred in 92% of the cases within two to three months after initiation of treatment (medical and surgical).…”

Section: Discussionsupporting

confidence: 83%

“…Conservative medical treatment with praziquantel and albensazole for two to three months was given to patients with cysts size less than 6 cm and post surgical intervention. None of the children on this study needed pulmonary resection as similar recommendation was advocated by Solak et al [7] and Onal and Demir [3]. The commonest complication in our study was bronchial communication 87.5% and rupture in the pleural space resulting in empyema.…”

Section: Discussionsupporting

confidence: 74%

“…This finding was similar to Berrais et al [8], where high incidence was in age group 4 to 18 years. Solak [3,7,9] studied and showed higher incidence in male than female, this was not statistically significance. In our series females are more affected [1,2].…”

Section: Discussionmentioning

confidence: 84%

“…Hydatid cysts with a diameter of 10 cm or high are defined as giant hydatid cysts. Giant hydatid cysts are more common in childhood than adults [3][4][5]. Hydatid infestation of the lung can be primary or secondary.…”

Section: Introduction mentioning

confidence: 99%

See 4 more Smart Citations

Lung Hydatid Cyst in Children

Delgado¹,

Loko²,

Dhaffala³

2019

JPP

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Hydatid infestation of the lung can be primary or secondary. Cystic echinococcosis (CE) is regarded as endemic in Sub-Saharan Africa, however, for most countries only scarce data, if any, exist. This is a retrospective analysis of children below 13 years with lung hydatid cyst admitted in the paediatric surgical ward at NMAH (Nelson Mandela Academic Hospital) in Eastern Cape, South Africa. The study period was from September 2015 to September 2017. The variables studied were age, sex, imagen findings, cysts sizes, treatment and complications. Prevalence and behaviour of lung hydatic cyst in our children were found out. There were 12 children studied, 8 females and 4 males. The age ranges from 5 to 10 years. The 50% of the children were to 10 years. The left lung was more affected, 7 patients constituting 58.3%, bilateral disease was seen in 3 patients. Treatment was surgical: punction, aspiration, injection and reaspiration (PAIR), removal of germinal layer, and partial capitonnage on a drain tube in 8 children (67%). A pharmacological treatment was offered to 4 patients. There was rupture of a cyst into the pleural space before surgery. Postoperatively 7 children developed broncho-pleural fistula. There was no mortality in this study. Hydatid cyst of the lung was most frequent on the left side. The surgical treatment performed was PAIR mostly in cysts more than 6 cm or with complications. Conservative treatment is an option in some cases.

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Section: Discussioncontrasting

confidence: 99%