A Single‐center Large‐volume Experience in the Surgical Management of Hydatid Disease of the Lung With and Without Extrapulmonary Involvement

Türk, Figen; Yuncu, Gökhan; Karabulut, Nevzat; Türk, Tarık; Ozban, Murat; Zümrütbas, Ersin Ali; Akdag, Beyza

doi:10.1007/s00268-013-2122-6

Cited by 12 publications

(17 citation statements)

References 20 publications

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“…In the literature, it has been reported that only 10-19% of patients are asymptomatic. Most common symptoms are cough, chest pain, fever, hemoptysis, sputum production (5,6,8). The same pattern can be seen in our patients too.…”

Section: Discussionsupporting

confidence: 87%

“…Hydatid Disease (HD) most frequently involves the parenchyma of the liver (55-75%); however some of the parasites escape through the microvascular barrier and reach the lung (15-40%) (1,6). There is no specific symptom for pulmonary hydatid disease (PHD).…”

mentioning

confidence: 99%

“…There is no specific symptom for pulmonary hydatid disease (PHD). Symptoms are usually due to the size and complications of the cysts (6). The treatment should be scheduled after performing laboratory and radiologic tests and differentiating the diagnosis properly.…”

mentioning

confidence: 99%

“…The treatment should be scheduled after performing laboratory and radiologic tests and differentiating the diagnosis properly. Surgical treatment has remained the prevailing option in the management of HD although medical treatment and combination of medical and surgical treatment choices are also other options (6,7).…”

mentioning

confidence: 99%

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Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

ERGÜN¹

2017

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Amaç: Ekinokok enfeksiyonu dünyada; özellikle de Akdeniz ülkelerinde önemli bir sağlık problemi olmaya devam etmektedir.İnsanlardaki ekinokok enfeksiyonlarında akciğer, ikinci en sık etkilenen organdır. Bu enfeksiyon çocuklarda da görülebilir ve tedavi bazen zor olabilir. Çocuklarda küçük akciğer kist hidatikleri medikal tedaviye olumlu cevap verir. Büyük ve komplike kistlerde ise yaklașım cerrahidir. Çocuklardaki akciğer kist hidatiklerinde günümüzde uygulanan cerrahi tedavi torakotomi ile kistostomi ve kapitonaj gibi parankim koruyucu cerrahi ișlemlerdir fakat torakoskopik cerrahi deneyimi çocuklarda sınırlıdır. Bu çalıșmanın amacı, çocuklarda akciğer kist hidatiklerinde torakoskopik cerrahi deneyiminin sunulmasıdır. Hastalar ve yöntem: 2008 ve 2016 yılları arasında akciğer kist hidatiği nedeniyle torakoskopik kistotomi yapılmıș olan çocukların tıbbi kayıtları gözden geçirildi. Medikal tedaviye karșın semptomatik olan ve kist çapı 6 cm'nin üzerinde olan hastalara cerrahi tedavi önerildi. Hastalarda kistostomi, germinatif membranın çıkarılması ve hava kaçağının önlenmesi gibi parankim koruyucu cerrahi uygulandı. Akciğer kapasitesini kötüleștirme riski nedeniyle kapitonaj tercih edilmedi. Bulgular: Çalıșmaya alınan 15 çocukta akciğer kist hidatiği nedeniyle 16 torakoskopik ișlem gerçekleștirildi. Bir hastada bilateral komplike hidatik kist mevcuttu. Üç hastada (%20) hava kaçağının güvenli bir șekilde kontrol edilememesi nedeniyle mini torakotomiye geçildi. On iki çocukta ișlem torakoskopik olarak tamamlandı. Torakoskopik olarak tamamlanan üç olguda (%25) uzamıș hava kaçağı (1 haftanın üzerinde) gerçeklești ve bu hastalardan birinde bronkopulmoner fistülü kontrol altına alabilmek için torakotomi yapıldı. Olgulardan birine karaciğer kist hidatiği nedeniyle laparoskopik kistostomi ve kapitonaj uygulandı. Ortalama 60 aylık takipte rekürrens saptanmadı ve hastaların takiplerinde problem izlenmedi. Sonuç: Çocuklarda görülen komplike olmayan kist hidatik olgularında torakoskopik kistostomi önerilse de komplike kist hidatiklerde torakoskopik wedge rezeksiyon önerilmektedir. Bronșial hava kaçaklarının kontrolünde zorlanılırsa mini torakotomiye geçilebilir.

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Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

ERGÜN¹

2017

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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“…Patients with larger cysts who are at a higher risk of medical therapy failure and complications are surgically treated [18][19][20][21]. There are reports advocating for surgery as the first line of management regardless of cyst volume because of the risk of complications [18,[22][23][24]. In light of our experience, surgical intervention is not necessary for cysts smaller than 5 cm, which could be successfully treated with albendazole, eliminating surgical risks and complications.…”

Section: • Dokumcu Et Al Thoracoscopy Vs Thoracotomy In the Treatmementioning

confidence: 89%

Thoracoscopic Treatment of Pulmonary Hydatid Cysts May Have a High Morbidity Risk in Children: Retrospective Analysis

et al. 2017

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Objective: Thoracoscopic treatment of pulmonary hydatid cyst (PHC) has been considered to be a good treatment option in both children and adults for nearly 25 years. However, there have been very few pediatric studies published during this period. Our goal is to review our results and evaluate the efficiency of thorascopy in pediatric patients. Materials and Methods:The medical records of patients with PHC who were surgically treated between 2005 and 2015 were reviewed. As all cysts larger than 5 cm in diameter were surgically removed, cysts less than 5 cm in diameter were medically treated and were not included in the study. Demographics, cyst characteristics, and operative/postoperative data were compared between patients who underwent thorascopy (thoracoscopy group) and patients who underwent thoracotomy (thoracotomy group). Chi-square and ttest were used for statistical analysis where appropriate.Results: There were 26 consecutive children (14 girls, 12 boys; mean age 9.4±2.7) included in the study. Except for 2 incidentally diagnosed patients, all were symptomatic, 4 had multifocal lesions, and multiorgan involvement was detected in 11 patients. Thoracoscopy was performed in 10 patients, and conversion was necessary in 2 patients due to unsuccessful fistula ligation attempts. The thoracoscopy group included 8 thoracoscopically treated patients, and remaining patients constituted the thoracotomy group (n=18).Comparison of preoperative characteristics of the groups was insignificant, whereas the overall complication rate (residual bronchial fistula, prolonged air leak, pneumothorax, and localized air cyst) and median hospital stay were significantly higher in the thoracoscopy group. There was no mortality and no recurrence at the postoperative follow-up after 37.4 months. Conclusion:The thoracoscopic approach to PHC may have a high risk of conversion and postoperative complication rate. Thoracotomy in children still seems to be the approach of choice for PHC larger than 5 cm. Routine thoracoscopic hydatid cyst treatment is yet far from being the gold standard, whereas thoracoscopy may be preferred in selected patients.Keywords: Pulmonary hydatid cyst, thoracoscopy, thoracotomy, child ÖZ Amaç: Akciğer kist hidatiği tedavisinde torakoskopinin iyi bir alternatif olduğu 25 yıl önce belirtilmesine rağ-men bu konuda çocuklarda çok az yayın mevcuttur. Bu çalışmada bu konudaki sonuçlarımızın gözden geçiril-mesi ve çocuk serilerinin değerlendirilmesi amaçlanmıştır.Gereç ve Yöntem: 2005-2015 arasında akciğer kist hidatiği tanısıyla tedavi edilen olguların hastane kayıtları geriye dönük olarak incelendi. Kist çapı 5 cm' den küüçük olan olgular medikal olarak tedavi edildiği için dahil edilmedi. Demografik veriler, özellikleri, ameliyat ve sonrası bulgular araştırılarak torakoskopik tedavi edilen (Torakoskopi grubu) ve torakotomi ile tedavi edilen (Torakotomi grubu) olgular karşılaştırıldı. Sonuçlar istatiksel olarak ki-kare ve t-test ile değerlendirildi.Bulgular: Yaş ortalaması 9,4±2,7 yıl olan 26 ardışık olgu (...

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Simultaneous Removal of Right Lung Hydatid Cyst and Repair of Atrial Septal Defect in a Single Session

Tong

Lin

et al. 2016

The Annals of Thoracic Surgery

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Hydatid cyst is the larval stage of echinococcosis caused by the canine tapeworm Echinococcus species, and the lung is the most common site of occurrence. Atrial septal defect is a common congenital heart disease with an incidence of 100 per 100,000 live births. To our knowledge, we report for the first time a case of coexistence of right lung hydatid cyst and atrial septal defect that were both treated with one-stage surgery.

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A Single‐center Large‐volume Experience in the Surgical Management of Hydatid Disease of the Lung With and Without Extrapulmonary Involvement

Cited by 12 publications

References 20 publications

Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

Thoracoscopic Treatment of Pulmonary Hydatid Cysts May Have a High Morbidity Risk in Children: Retrospective Analysis

Simultaneous Removal of Right Lung Hydatid Cyst and Repair of Atrial Septal Defect in a Single Session

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