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

Erdoğan, Abdullah; Ayten, Arife; Demircan, Abid

doi:10.1111/j.1445-2197.2005.03594.x

Cited by 36 publications

(18 citation statements)

References 15 publications

(22 reference statements)

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“…The best surgical procedure in the treatment of hydatid cyst remains controversial. 3 Enucleation, cystotomy, pericystotomy, and procedures such as capitonnage preserving the parenchyma have been advocated as the primary choice. 19,23 Among these, capitonnage along with cystotomy has been the most frequently applied and recommended method.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of Pulmonary Hydatidosis According to Their Segmentary Locations

Koçer¹,

Gülbahar²,

Han³

et al. 2008

Clinical Pulmonary Medicine

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The objective of this analysis is to compare the pulmonary locations of lung hydatid cysts and their size with respect to their locations with available literature. The records of 82 patients who were operated for pulmonary hydatid cysts between January 2001 and December 2005 were retrospectively evaluated. One hundred eleven cysts detected in 82 patients were placed into 2 groups as those located in the right lung (group A, 55 cysts) and those located in the left lung (group B, 56 cysts), and the segments involved were investigated. The gender distribution of the patients was 40 male and 42 female, with a mean age of 35.2 Ϯ 17.64 years (range: 7-82 years). No difference was detected with respect to involvement between the 2 lungs (P ϭ 0.285). The most commonly involved segment was the posterior basal segment of the lower lobe with 15 cysts (27.3%) from group A and 20 cysts (35.7%) from group B. No involvement of the lower lobe medial basal and anteromedial basal segments was observed. The most common surgical procedures applied were cystotomy and capitonnage. The findings of the study showed that pulmonary hydatidosis were located in some segments of the lungs more frequently, primarily in the posterior segment of the lower lobe and the apicoposterior segment of the upper lobe. In addition, the higher prevalence of giant cysts in the lower lobe and their ability to produce symptoms only after being enlarged suggest a role of mechanisms other than elasticity of the lungs.

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Section: Discussionmentioning

confidence: 99%

“…1,2 It is an important public health issue in Turkey, and in some of the Mediterranean countries. 3 Its incidence in Turkey varies between 1/50,000 and 1/2000, with higher rates in rural areas. 4 In adults, the lungs are the second most frequently affected organ by this disease.…”

mentioning

confidence: 99%

Analysis of Pulmonary Hydatidosis According to Their Segmentary Locations

Koçer¹,

Gülbahar²,

Han³

et al. 2008

Clinical Pulmonary Medicine

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“…Hydatid cyst surgery is uncomplicated; mortality and morbidity is extremely low (5,9,14). Giant cysts have 5% higher morbidity than simple cysts (8). Prolonged air leak (10-19%), empyema (7%), sterile air space, and pneumonia are frequently observed (9,10,12,15).…”

Section: Discussionmentioning

confidence: 99%

“…Hydatid cyst should receive treatment as soon as diagnosis is established, since it may cause serious complications by means of rupture into bronchi and pleural cavity or vital organ compression (14). Surgical treatment should be preferred in hydatid cysts of the lung (4,8,9,14,15). Medical treatment is indicated in uncomplicated small cysts, in patients with high risk for surgery, and patients reluctant to undergo surgery (5).…”

Section: Discussionmentioning

confidence: 99%

Our results in surgical treatment of hydatid cyst of the lungs

Şehitoğulları

2007

ELECTRON J GEN MED

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Aim:The cases of pulmonary hydatid cysts are frequently seen especially in Eastern Anatolia Region because the living source is stock-breeding. We aimed to discuss 102 patients operated with the diagnosis of pulmonary hydatid cyst in 2.5 years' period. The patients with hydatid cyst disease who were applied to our clinic, were evaluated in light of literature.Methods: 102 patients were diagnosed with hydatid cyst clinically and radiologically between June 2002 and January 2005. Their ages ranged between 4-65 years with the mean age of 23 years. Thoracotomy was applied to all patients.Results: Cyst localization was unilateral in 96 and bilateral in 6 of them. 10 patients had also cyst in the liver. Cyst was perforated in 56% of the patients. Enucleation was applied in 3 patients, cystectomy in 3 patients and cystotomy+capitonnage was applied to the remaining. In bilateral cases, operation was applied to the other side after one month from the first operation. Percutaneous drainage was applied in coordination with radiology department in the presence of hepatic hydatid cyst. In these cases and in the presence of multipl cysts, albendazole treatment was applied. Lower lobectomy (2 right, 1 left) was performed in 3 cases. No mortality or recurrence was observed.Conclusion: Cystotomy+capitonnage is still the most valid surgical method in pulmonary hydatid cyst cases because it is a method preserving the parenchyma.

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“…The cysts were classified as giant hydatid cysts (group A, n=23) and hydatid cysts with smaller diameter (group B, n=39). The cysts that had ruptured into the bronchus or pleural cavity, with or without infection, was defined as a complicated cyst [7]. The groups were compared for the age, gender, clinical symptoms, cyst location and number, preoperative complication, type of surgical procedure, postoperative prolonged air leak, chest tube removal day, postoperative complications and duration of hospitalization.…”

Section: Methodsmentioning

confidence: 99%

Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi

Özpolat¹,

Yazkan²,

Günal³

et al. 2017

TURKISH JOURNAL of CLINICS and LABORATORY

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Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi Material and Method:A retrospective evaluation of 62 patients operated for hydatid cysts of lung were done. The patients were divided into two groups whether the pulmonary cyst was giant (group A, n = 23) or smaller in diameter (group B, n = 39).The groups were compared for age, gender, clinical symptoms, cyst location and number, preoperative complication, type of surgical procedure performed, postoperative prolonged air leak, chest tube removal day, postoperative complications, duration of hospitalization, morbidity and mortality.Results: No significant difference was detected between mean age, gender and site of location of the cyst (P = 0.925, P = 0.293, P = 0.179). Twenty-one (91%) of the cases had solitary cyst in group A, whereas nearly 1/3 had multiple cysts in group B. Solitary predominance for giant hydatid cysts was significant (P = 0.005). Cystotomy plus non-capitonnage method was performed in 13 (56%) cases in group A and, 8 (20%) cases in group B. The frequency of cystotomy plus capitonnage method was significantly higher in group B compared to group A (P = 0.004). Prolonged air leak was seen in 5 (22%) cases in group A and 2 (5%) cases in group B. Mean chest tube removal time was 4.57 ± 2.48 days in group A and 2.49 ± 1.63 days in group B. Duration of hospitalization was 8.48 ± 3.39 days in group A and 5.69 ± 1.80 in group B and the difference for both parameters were significant statistically (P < 0.001 and P < 0.001). Postoperative complications other than prolonged air leak were seen in two cases in group A and three cases in group B. There was no mortality in either groups. Conclusions:The giant hydatid cysts had a predominance to be solitary and mean chest tube removal time and duration of hospitalization was prolonged independent from type of operation performed. Conservative surgical interventions, whether capitonnage or non-capitonnage methods were performed, had excellent outcomes in both groups.

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

Abstract: We conclude that it is not an advantage to carry out capitonnage when treating pulmonary hydatid cysts.

Cited by 36 publications

References 15 publications

Analysis of Pulmonary Hydatidosis According to Their Segmentary Locations

Analysis of Pulmonary Hydatidosis According to Their Segmentary Locations

Our results in surgical treatment of hydatid cyst of the lungs

Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi

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