Is capitonnage unnecessary in the surgery of intact pulmonary hydatic cyst?

Abstract

This study shows that capitonnage is a procedure that should not be easily abandoned, despite the current contrary opinions, because of its low complication rate.

Methods of surgical therapy in pulmonary hydatid disease: is capitonnage advantageous?

“…In addition, we believe that when the cystic cavity is properly obliterated, pericystic tissue causes no complication. Despite the fact that we did not use that method in our series, our complication rates were comparable to those of others 15,18,19 .…”

“…Many published authors believe that the most appropriate procedures for pulmonary hydatid cysts are open surgery involving removal of the cyst membrane, closure of the bronchial openings, and capitonnage 14−16 . But we, together with other authors, believe that capitonnage is not necessary 17,18 .…”

Pulmonary hydatid disease in children: outcome of surgical treatment combined with perioperative albendazole therapy

“…Capitonnage, in the management of residual cavity, has been questioned to possibly cause atelectasis by obliterating the bronchus surrounding the cyst [8,10]. On the other hand, we think it eliminates the potential risk of infection in a left-open cavity and thus, lowers the postoperative morbidity rates [11][12][13]. For small cysts, the cavity can be left open after closure of the patent bronchial openings, because the pulmonary parenchyma obliterates the space by itself.…”

Evaluation of the effect of pulmonary hydatid cyst location on the surgical technique approaches

“…[13] However, our result about the gender-related incidence rate was similar to those reported in the study performed by Bilgin et al . [14] But, the study of Ghaffarifar reported that the incidence rate is more common in females. [15]…”