Thoracic echinococcosis complicated by arrosive bleeding from great vessels

Objectives:To compare results of surgical treatment and complications of patients with unilateral or bilateral thoracic and combined pulmonary echinococcosis.Methods:This cross-sectional analysis of a prospective study was conducted in the Department of Thoracic and Pediatric Surgery, Scientific Center of Surgery, Almaty, Kazakhstan among 598 patients with pulmonary echinococcosis, who had surgical treatment with various surgical methods, depending on the prevalence of echinococcosis, as follows: right lung in 357 (59.5%) patients, left lung in 243 (40.5%) patients, bilateral in 95 (15.8%) patients, and complicated echinococcosis in 317 (52.8%) patients. Length of stay per hospital stay has been decreased (p<0.0001) by video-thoracoscopic echinococcectomy with the high-energy laser (HEL) treatment of cyst, than after echinococcectomy by cyst treatment with povidone-iodine. Treatment with formalin presented the most longest hospital stay (p<0.0001)Results:Comparative analysis of patients with uncomplicated and complicated pulmonary echinococcosis showed a high frequency of postoperative complications associated with complicated echinococcosis (OR = 2.2, p<0.0001).Conclusion:Despite the success of surgical treatment of pulmonary echinococcosis, issues of intraoperative dissemination and safety remain, and treatment success rates can be improved. These factors require further prospective multicenter studies.

show abstract

“…Whereas, small bronchiolar fistulas are treated thorough suturing by necessity, but postoperative complications often develop. 14 , 15 …”

Section: Discussionmentioning

confidence: 99%

Single-center experience in the surgical treatment of combined lung Echinococcosis

Shirtaev

Mukhtar

Ruslan

et al. 2018

SMJ

View full text Add to dashboard Cite

show abstract

Single Lung Acute Respiratory Distress Syndrome

Ibadov¹,

Khudaybergenov²,

Eshonkhodjaev³

et al. 2023

OJEM

View full text Add to dashboard Cite

Hydatid disease or echinococcosis is a zoonotic parasitic disease. The lungs are the second most commonly affected organ after the liver. Intrathoracic and extrapulmonary hydatid disease can affect the pleura, mediastinum, heart, diaphragm, and chest wall. The unusual location or complications of thoracic hydatid disease can present both a diagnostic problem and a therapeutic and surgical problem. We present results of a case of multilocular thoracic hydatid disease complicated by aortic wall erosion and cystic fistula in a 23-year-old patient who developed acute respiratory distress syndrome (ARDS) on the 4 th day after emergency pneumonectomy. The surgery was carried out under the conditions of the auxiliary artificial circulation. This case represented a serious clinical situation with the highest risk to life. The need for immediate respiratory support was due to the development of severe respiratory failure, and the presence of direct and indirect harmful factors of ARDS. The correct choice of modes and techniques of mechanical ventilation resulted in significant and sustained improvement in gas exchange parameters without hemodynamic disorders with a further favorable outcome.

show abstract

Thoracic echinococcosis complicated by arrosive bleeding from great vessels

Cited by 2 publications

References 0 publications

Single-center experience in the surgical treatment of combined lung Echinococcosis

Single-center experience in the surgical treatment of combined lung Echinococcosis

Single Lung Acute Respiratory Distress Syndrome

Contact Info

Product

Resources

About