“…We have found capitonnage to be a simple and easy technique for closing the cystic cavity, as attested in other reports (10,13,14). Subsequently the pouch is opened and the germinative layer is removed.…”
Section: Discussionsupporting
confidence: 84%
“…Recent developments in anesthesiology have greatly facilitated thoracic surgery (7, 10,11). We believe that early surgical treat- ment is the best course of action, since intrabronchial opening may lead to dangerous complications.…”
A series of 460 surgically treated cases of hydatid cyst of the lung is presented. Radiologic preoperative diagnosis was made in 90% of the patients. Cystotomy with subsequent capitonnage was performed in 395 cases, wedge resection in 27, lobectomy in 15 and segmental resection in 23 cases. After careful hemostasis, two drains were placed in the thorax and the thoracic cavity was closed. There were three postoperative deaths (0.6%) and two recurrences of cyst (0.4%) during follow-up investigation for periods up to 10 years.
“…We have found capitonnage to be a simple and easy technique for closing the cystic cavity, as attested in other reports (10,13,14). Subsequently the pouch is opened and the germinative layer is removed.…”
Section: Discussionsupporting
confidence: 84%
“…Recent developments in anesthesiology have greatly facilitated thoracic surgery (7, 10,11). We believe that early surgical treat- ment is the best course of action, since intrabronchial opening may lead to dangerous complications.…”
A series of 460 surgically treated cases of hydatid cyst of the lung is presented. Radiologic preoperative diagnosis was made in 90% of the patients. Cystotomy with subsequent capitonnage was performed in 395 cases, wedge resection in 27, lobectomy in 15 and segmental resection in 23 cases. After careful hemostasis, two drains were placed in the thorax and the thoracic cavity was closed. There were three postoperative deaths (0.6%) and two recurrences of cyst (0.4%) during follow-up investigation for periods up to 10 years.
“…La terapeutica medica solo tendn'a valor si se diagnosticara la hidatidosis en su estado microscopico, pues de otro modo aunque se mate la larva subsistiria el problema de eliminar sus restos. La curacion espontanea por medio de la vomica es rara y en ocasiones mortal 12 " 15 ' 16 .…”
Pulmonary Hydatid DiseaseThe clinical picture and surgical treatment of 32 children with hydatid cyst of the lung is shown. A total of 36 surgical interventions were perfomed. Their mean age at admission was 7,4 years (range: 2-12 years). Males had a slight predominance (62,5%) over females. The diagnosis was suspected on clinical grounds in 81,2%of the cases; in the other patients it resulted from an unexpected radiological finding. The commonest symptoms were cough (59.3%), haemoptysis (31.2%), fever (21.8%) and anorexia (21.85It). Physical examination showed pulmonary dullness in 34.2%, bronchial signs in 12.5%and pleural manifestations 12.5%, but it was negative in 40.6%of the cases. In most cases the cyst was solitary (71.99$, uncomplicated (58.5 %) and located mainly in the right lung and the lower right lobe (32.1%). Twenty five percent of the patients had also cysfs in other organs in addition to pulmonary locations, specially in the liver (9.4%). The most currently used surgical procedures were cyst resections (44.5%) and pulmonary lobe resections (33.3*^. Morbidity rates were 8.3%and the over all mortality rate was 2.7%
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