Parenchyma Sparing Procedures Is Possible For most Pulmonary Hydatid Disease Without Recurrence and Low Complications

Kabiri, El Hassane; Traibi, Akram; Hammoumi, Massine El; Oueriachi, F. El; Arsalane, A.

doi:10.5455/medarh.2012.66.332-335

Cited by 9 publications

(12 citation statements)

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“…[3][4][5][6] The common causes of parenchymal destruction are particularly tuberculosis disease followed by bronchiectasis secondary to airflow obstruction, aspergilloma, lung abscesses, bronchial stenosis, congenital malformation, complicated hydatid cyst, and neglect foreign bodies. [6][7][8][9][10][11] In our study, nonspecific bronchiectasis first and tuberculosis were the major causes of destroyed lung, these pathologies are still frequent in developing countries. [1][2][3]12,13 Tuberculosis was the major causes of destroyed lung or lobe, which is consistent with many reports in the literature, 5 but other authors like in our work report non-specific causes: Halezeroglu et al, 3 and Sayir et al 2 In the literature, we find that respiratory infections are associated with hypertrophy of the lymph nodes responsible of the compression of the bronchial tree lumen; the thickening of the bronchial wall responsible of the lumen narrowing decrease the progression of bronchial secretions with stagnation, infection, and parenchymal consequences as the pneumonia and destruction.…”

Section: Discussionmentioning

confidence: 97%

Clinical and surgical analysis of lobectomy for destroyed lobe of the lung: A series of 47 patients

Kabiri

Hammoumi

Bhairis

et al. 2021

Asian Cardiovasc Thorac Ann

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Objective Destroyed lobe of the lung is always secondary to chronic or recurrent lung infections with irreversible damage of pulmonary parenchyma. In this study, we analyzed surgical technique, post-operative complications, mortality, and long-term outcomes of patients undergoing lobectomy of pulmonary lobe destruction. Materials and methods A retrospective study of 47 patients that underwent lobectomy due to a destroyed lung parenchyma between January 2010 and December 2019 were reviewed with an average follow-up period of 39 months. Results The study included 47 patients with a mean age of 39.4 years. The etiology of lobe destroyed was tuberculosis in 15 (31.9%), non-tuberculosis bronchiectasis in 20 (42.5%), aspergilloma in 09 (19.1%), hydatid cyst in 2 (4.3%), and a mis-diagnosed intrabronchic foreign body in 1 (2.1%). Surgical approach was through posterolateral thoracotomy in 44 (93.6%) patients and video-assisted thoracoscopic surgery in only 3 patients. Mean operative time was 153 min and mean post-operative hospital stay was 7.9 days. The post-operative complications occurred in five (10.6%): atelectasis (n = 2), wound site infection (n = 1), prolonged air leak (n = 1), and hemothorax in one case. No post-operative mortality was noted. A good clinical result was observed in 87.2% of cases. Conclusion Surgical treatment of destroyed lobe is a high risk associated surgery. Tuberculosis and aspergilloma are the most common etiologies. Favorable result was obtained in selected patient with an excellent perioperative care.

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Section: Discussionmentioning

confidence: 97%

Clinical and surgical analysis of lobectomy for destroyed lobe of the lung: A series of 47 patients

Kabiri

Hammoumi

Bhairis

et al. 2021

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

show abstract

“…The radiologic techniques including chest radiograph, abdominal ultrasonography, chest and abdominal CT scan, and rarely magnetic resonance imageing [2,3,14] are sufficient to make the diagnosis, to detect complicated forms, to differentiate the cystic nature of a mass, to research the obstacle in the biliary ducts, and to plan the surgical approach.…”

Section: Discussionmentioning

confidence: 99%

“…The synchronous right pulmonary and sub-diaphragmatic hepatic cysts can be managed through several approach [13,15]. Two-stage posterolateral thoracotomy and laparotomy (lung surgery first except if the hepatic cyst is complicated or >10 cm in diameter); it is the procedure that we used prior to 2009 [6] but it is responsible for more morbidity, pain, longer stay and higher costs [14,16,17].…”

Section: Discussionmentioning

confidence: 99%

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Single-Stage Transthoracic Surgery of Right Pulmonary and Hepatic Hydatid Cysts: A Retrospective Study of Fourteen Patients

Kabiri

Hammoumi

Bhairis

et al. 2021

Surgical Infections

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Background: The association of pulmonary and hepatic hydatid cysts is rare. Managing this condition with low mortality and complications is a challenge. The aim of this study is to put forward our experience in managing both sites in single-stage posterolateral thoracotomy. Patients and Methods: A retrospective study of 14 patients who underwent single-stage posterolateral thoracotomy and phrenotomy to treat right lung and liver hydatid cysts between January 2010 and December 2019 were reviewed. Results: Fourteen of 135 patients (10.4%) with double location of hydatid disease were treated in our department for pulmonary hydatid cysts in the same period. There were nine males and five females who were 20 to 72 years old (average age, 42.7 years). Chest computed tomography (CT) and abdominal scan were performed in all cases. The surgical approach was posterolateral thoracotomy and phrenotomy without laparotomy in all cases. Conservation of hepatic and pulmonary parenchymas was possible in 13 patients (92.8%). Average operative time was 122 minutes (range, 95-210 minutes) and the average post-operative hospital stay was 8.7 days. Post-operative complications occurred in two (14.3%) cases, one was atelectasis and the other persistent biliary and air leakage. There was no post-operative mortality. All patients received post-operative medical treatment for three to six months and there was no recurrence after an average follow-up of 26 months. Conclusion: Single-stage thoracotomy is a better option than thoracotomy and laparotomy for the management of double located hydatid cysts. It has a lower complication rate, shorter hospital stay, and rapid resumption of normal activity.

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“…Segmen- Finally, it should be noted that in such patients, the preservation of the lung tissue function is very impor- tant. In addition, the less part of the lung is removed after surgery, the fewer complications the patient will suffer (15). Accordingly, in dealing with similar patients, segmentation is a priority over lobectomy; however, it requires more time and precision.…”

Section: Discussionmentioning

confidence: 99%

A Giant Pulmonary Hydatid Cyst in a 13-Year-Old Child: A Case Report

et al. 2021

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: Hydatid disease has been introduced as a crucial health issue in the Eastern Mediterranean by the World Health Organization. Surgery is the standard gold treatment for hydatid disease. Here, we reported a case of a large hydatid cyst involving the lung in a 13-year-old girl complaining of shortness of breath and cough for 8 months. Early symptoms include fever, cough, and shortness of breath. After admission, computed tomography verified giant lung hydatid cysts. Complete collapse of the right lung and progressive respiratory distress of the patient were treated with thoracotomy considering the size of the hydatid cyst in the lung. It should be noted that in such patients, the preservation of lung tissue function is very significant, and also, the less part of the lung is removed after surgery, the fewer complications the patient will suffer.

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Parenchyma Sparing Procedures Is Possible For most Pulmonary Hydatid Disease Without Recurrence and Low Complications

Abstract: Hydatid cysts of the lung should be treated before complications. Parenchyma saving is the best procedures for this benign disease; the radical resection must be reserved only for pulmonary destruction.

Cited by 9 publications

References 0 publications

Clinical and surgical analysis of lobectomy for destroyed lobe of the lung: A series of 47 patients

Clinical and surgical analysis of lobectomy for destroyed lobe of the lung: A series of 47 patients

Single-Stage Transthoracic Surgery of Right Pulmonary and Hepatic Hydatid Cysts: A Retrospective Study of Fourteen Patients

A Giant Pulmonary Hydatid Cyst in a 13-Year-Old Child: A Case Report

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