Our results in surgical treatment of hydatid cyst of the lungs

Abstract

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.

A retrospective survey of human hydatidosis based on hospital records during the period of 10 years

“…If the liver does not keep the embryo, it is carried to the lungs. It is most frequently located in the right lung and lower lobes of both lungs (Sehitogullari 2007). In adults the liver is the most common organ infected by larval from of E. granolosus (Bhabaosh et al 2004;Moharrem et al 2000).…”

Comparison of Demographical Characteristics, Prognostic Factors, and Surgical Outcomes in Children and Adult Patients with Pulmonary Hydatid Cyst

“…Also, they indicated that the presence of giant cyst was not related with gender, clinical findings, or surgical procedure. In contrast, Sehitogulları (17) showed a relation between cyst size and localization or symptoms A study in a children population aged between 2 and 14 years showed that HCD is significantly more prevalent in children older than 9 years (74%). In the children population, there was a correlation between age and frequency of HCD (15).…”

“…Prolonged air leakage is an air leakage in bronchus important complication of thorax surgery which may cause empyema (17,23). The major postoperative complication are atelectasis (17,5%), prolonged air leakage (4.1%), wound infection (2%) and bronchopleural fistula (1%) in childhood population (23).…”

“…There are controversial reports with regard to involvement side or lobe (17)(18)(19). In our study, the involvement of left lung and lower lobe in the children group and right lung and lower lobe in the adult group was more frequent.…”

“…Because the complication rate is low and the conservative therapy of complications is easier, parenchyma-preserving surgeries are preferred procedures. Total excision of cyst is mainstay of therapy; however, resection is required for cyst invading more than half of a lobe in the adult population or more than 70% in the children population (14,17,18,24).…”