Lung hydatic cysts in children: comparison study between giant and non-giant cysts

Arroud, Mounir; Afifi, My Abderrahmane; Ghazi, Karima El; Nejjari, Chakib; Bouabdallah, Youssef

doi:10.1007/s00383-008-2256-z

Cited by 49 publications

(54 citation statements)

References 14 publications

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“…6) Nevertheless, excessively high lung resection rates were reported in the literature for lobectomy as 0%-52.1% and for pneumonectomy as 0-11.4% in the surgical treatment of lung hydatid cysts. [7][8][9] Some authors pointed out the indications for lung resection as the invasion of more than 50% of the lobe by cyst or presence of multiple cysts in the same lobe. [8][9][10][11][12] This indications increase the resection rates very severely.…”

Section: Discussionmentioning

confidence: 99%

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

Önal

Demir

2017

ATCS

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Section: Discussionmentioning

confidence: 99%

“…[7][8][9] Some authors pointed out the indications for lung resection as the invasion of more than 50% of the lobe by cyst or presence of multiple cysts in the same lobe. [8][9][10][11][12] This indications increase the resection rates very severely. In pediatric patients, the sizes of lung lobes are smaller than adults.…”

Section: Discussionmentioning

confidence: 99%

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

Önal

Demir

2017

ATCS

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“…In contrast, there are reports stating that PHC is frequently asymptomatic in children [11,13]. Symptoms are probably due to the mass effect or bronchial opening of the cyst, which may differ between studies of patients who have various cyst volume and cyst rupture rate.…”

Section: Discussionmentioning

confidence: 91%

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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“…Some symptoms such as weakness, nausea, vomiting and chest deformities are rare (3). Because of immature immunity and increased lung elasticity, larger cysts may be seen in children when compared to adults (3,4). Pulmonary hydatid cyst involves the right lobein 60% of cases, and liver cysts are seen in 20% of cases.…”

Section: Dear Editormentioning

confidence: 99%

A case of hydatid cyst presented with chronic weight loss

Yüksel¹,

Halici²,

Gündüz³

et al. 2017

J Turgut Ozal Med Cent

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Lung hydatic cysts in children: comparison study between giant and non-giant cysts

Abstract: Giant hydatid lung cysts represent a distinct pathology. They affect essentially adolescents and may reach a large size causing parenchymal destruction. Thus, surgical resections are frequently used and postoperative complications rate is high.

Cited by 49 publications

References 14 publications

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

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

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

A case of hydatid cyst presented with chronic weight loss

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