Lobectomy for pulmonary hydatid cyst

Abstract

Although parenchymal sparing surgery is the most appropriate for the treatment of hydatid cysts, rarely lobectomy is needed. We aimed to retrospectively evaluate the cases in which we had to perform lobectomy due to hydatid cyst. Materials and methods:A total of 36 (1.88%) patients that underwent lobectomy (n = 35) and pneumonectomy (n = 1) from among 1909 patients operated on for hydatid cyst in our hospital between 1992 and 2012 were retrospectively evaluated.Results: Among the patients, 35 underwent lobectomy and 1 right pneumonectomy. The mean age of the patients was 11.1 ± 3.4 years (6-16 years) among children and 43.2 ± 13.8 years (20-78 years) among adults. The most common indications for lobectomy were destroyed parenchyma in 22 (61.1%), hemoptysis in 17 (47.2%), and parenchymal loss due to giant cyst in 12 (33.3%) cases. Postoperative morbidity was observed in 9 (25%) patients, and no mortality was observed. Conclusion:The effective treatment for hydatid cyst is parenchymal sparing surgery. However, lobectomy is an inevitable result with indications such as destroyed parenchyma, hemoptysis, parenchymal loss due to giant cyst, lobe bronchus ruptured into the cystic cavity, broncho-pleural fistula, suspected malignancy, broncho-bilier fistula, and pulmonary abscess.

Resection in pulmonary hydatid cyst (parasitic disease)

“…It is an important health problem in regions where people earn the living by agriculture and livestock raising, while veterinary services, public health and preventive policies are poorly offered [11]. In our study the resection rate was (20.83%) and it's higher than other studies, Dakak et al (9.2%) [4] , Kavukcu et al (7%) [12] , Bagheri et al (10.3%) [13], Yekeler et al (1.88%) [14] , Ceran et al (9.3%) [15] . The explanation of this high rate atelectasis non-inflating big HC destroyed lobe proximity…”

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

“…We also think that preferring resection is a very invasive approach due to presence of multiple cysts in the same lobe. 13) Perforation is the most frequent complication of pulmonary hydatid cysts. In the literature, the perforation rates were stated as 24.7%-61%.…”

Cardiac Hydatid cysts; presentation and management. A case series

“…Since the era of Galen, hydatid disease was introduced to medicine when Thebesius described this entity in the 17th century. Its origin thought to be in Iceland and to have been brought to continental Europe by dogs accompanying whaleboats in the 18th century [ 1 ]. Geographic areas that have highest infestation rates are those in which there is continues contact between humans and certain domestic carnivores such as cats, dogs and some ungulates as sheep [ 2 ].…”

“…Geographic areas that have highest infestation rates are those in which there is continues contact between humans and certain domestic carnivores such as cats, dogs and some ungulates as sheep [ 2 ]. Echinococcosis is endemic to the Mediterranean region, South America, Australia, New Zealand, the Middle East, Alaska, and Canada, where it is widespread among native American tribes [ 1 ]. Although no body part can be spared from hydatid cysts (HCs), they mostly affect the liver and lungs [ 3 ].…”