Surgery in hydatid cyst of the lung: A Report of 460 Cases

Solak, Hasan; Özgen, Gökalp; Yüksek, Tahir; Eren, Nesimi; Solak, Neşe; Nk, Kirca; Akkoc, Ozkan; Göktoğan, Tayfun; Özpınar, Cevat

doi:10.3109/14017438809105937

Cited by 23 publications

(18 citation statements)

References 12 publications

(3 reference statements)

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“…A review of 14 reports on 4255 patients with intrathoracic hydatidosis surgically treated, published in the recent decade (1988)(1989)(1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997) and covering the period from the early 70's till now, revealed a perioperative mortality of 1.45% [1,2,5,[8][9][10][11][12][13][14][16][17][18]. The overall postoperative early and late morbidity ranged from near zero to 17% in 3433 patients [2,5,[8][9][10][12][13][14][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

“…Our policy in the surgical management of pulmonary hydatid disease is the conservative surgery. It is followed by the vast majority of thoracic surgeons [1,3,5,[8][9][10][11][12][13][14][15], and is especially justified in children [16,17]. A review of the practice of nine centers in surgical management of pulmonary hydatid cysts revealed that radical resection is performed approximately in 20% of all surgical procedures [1,5,[8][9][10][11][12]14,18].…”

Section: Discussionmentioning

confidence: 99%

“…The overall mortality rate after surgical management of intrathoracic (lung and liver dome) echinococcosis is very low (0-4.2%) [1][2][3]5,6,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25]. A review of 14 reports on 4255 patients with intrathoracic hydatidosis surgically treated, published in the recent decade (1988)(1989)(1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997) and covering the period from the early 70's till now, revealed a perioperative mortality of 1.45% [1,2,5,[8][9][10][11][12][13][14][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of echinococcosis by a transthoracic approach: a review of 85 cases1

Athanassiadi

Kalavrouziotis

Loutsidis

et al. 1998

European Journal of Cardio-Thoracic Surgery

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Objective: Human echinococcosis remains a serious health problem for the Mediterranean countries, among them Greece. As there is no effective medical therapy, surgery is still the treatment of choice. Material and methods: We present our experience in the surgical management of hydatidosis by a transthoracic approach, based on 85 patients (49 male, 36 female, aged 4-86 years) treated during 1986-1996. Results: Twenty-one patients (26.3%) appeared with complications as: hydatidemesis (n = 5), hydropneumothorax (n = 3), cyst infection (n = 3), empyema thoracis (n = 8), cholebronchial (n = 3) and cholebronchopleural fistula (n = 1). The location of the cysts was: 61 in the lungs (right, 29; left, 24; bilateral, eight), 31 on the liver dome, six in the pleural cavity, two in the mediastinum, and one in each of pericardium, chest wall, and right pararenal space. Surgical approach involved a thoracotomy or median sternotomy in all cases. Pulmonary endocystectomy and capitonnage was the procedure of choice in the surgical management. Hepatic cysts were approached through a right thoracophrenotomy and were managed with evacuation of the main and daughter cysts, suture of the diaphragm to the margins of the cyst, and drainage of the cystic and pleural cavities. There was no in-hospital mortality. Major postoperative complications were: empyema thoracis (n = 3), biliary fistula (n = 2), and bronchopleural fistula (n = 1). Five patients presented later with seven recurrences of the disease. Conclusion: Transthoracic approach is a good and safe choice in surgical treatment of both the intrathoracic and the (concomitant or not) hydatid cysts on the upper surface of the liver.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of echinococcosis by a transthoracic approach: a review of 85 cases1

Athanassiadi

Kalavrouziotis

Loutsidis

et al. 1998

European Journal of Cardio-Thoracic Surgery

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“…It provides information about the anatomic and pathologic condition of the cysts. CT scans are usually adequate in diagnosing lung cysts [7]. CT scans are more sensitive and accurate than US in localizing the liver cysts, and therefore are very useful in helping surgeons choose the site of the phrenotomy incision in the diaphragm [7].…”

Section: Discussionmentioning

confidence: 99%

One-stage surgical management for lung and liver hydatid diseases

et al. 2011

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Background: Hydatid disease remains a serious health problem in Mediterranean areas. We reviewed the efficacy of a single-stage operation in coexisting cysts of lung and liver in patients.Methods: Forty-one patients operated for the cysts located on the dome of the liver and right lung with onestage surgical approach on between 1990 and 2010. There were 19 males (46%) and 22 females (54%) patients. The age range was 10-82 years, with a median age of 34 years.Results: All patients had simultaneous operations for both organs via right thoracotomy and phrenotomy except one patient. Surgical techniques used in the lung were cystotomy and capitonnage, with wedge resection of the destroyed lung parenchyma in three (7.3%) and additional decortication in three (7.3%). Cystotomy was applied with membrane removal in the liver cysts. Postoperative complications were prolonged biliary drainage, empyema, prolonged air leak, pleural effusion in one case (2.4%) each, respectively. All patients managed successfully and discharged. No hospital mortality occurred.Conclusions: We propose that concomitant right pulmonary and liver dome hydatid cysts can be treated effectively and safely in a one-stage operation through a right posterolateral thoracotomy and phrenotomy.

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“…The most valuable diagnostic tool for pulmonary hydatid disease is the chest X-ray. 2,54,56 Although various images can be seen on the chest radiograph, the typical appearance is a homogeneous spherical or oval opacity with sharp contours. Computed tomography can show small cysts not visible on a chest X-ray, 2,56,57 and also the signs of a ruptured hydatid cyst.…”

Section: Diagnosismentioning

confidence: 98%

Cystic Hydatid Disease: Current Trends in Diagnosis and Management

2004

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Cystic echinococcosis is endemic in certain parts of the world. The growth of the cyst is often slow, and the liver and lungs are the most frequently involved organs. Diagnosis is based on clinical signs and symptoms and epidemiological data, while ultrasonography is important for the classification of hydatid cysts. Although certain types of hydatid cysts are successfully treated by percutaneous aspiration, injection, and reaspiration, surgery remains the treatment of choice. We reviewed the current trends in the diagnosis and management of cystic echinococcosis, with special emphasis on hepatic and pulmonary involvement.

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Surgery in hydatid cyst of the lung: A Report of 460 Cases

Cited by 23 publications

References 12 publications

Surgical treatment of echinococcosis by a transthoracic approach: a review of 85 cases1

Surgical treatment of echinococcosis by a transthoracic approach: a review of 85 cases1

One-stage surgical management for lung and liver hydatid diseases

Cystic Hydatid Disease: Current Trends in Diagnosis and Management

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