Abordaje transtorácico para la hidatidosis pulmonar derecha y hepática concomitante

Abstract

Transthoracic approach for concurrent right lung and liver hydatid cysts Introduction: Pulmonary and hepatic hydatid disease occurs concomitantly in 4 to 33% of cases. When the condition is localized in the right lung and liver dome surgical resolution in one time is possible. Objective: To describe the transthoracic-transfrenic approach and review the available literature. Material and Methods: We report two cases operated at our institution through a right posterolateral thoracotomy and frenotomy in one stage, with uneventful postoperative evolution. A systematic review of the literature was conducted in the PubMed database period 1990-2011. Five studies met the inclusion criteria. Conclusions: Transthoracic-transfrenic approach is feasible and safe, allowing the surgical resolution in one time through a single incision, without another anesthetic procedure or subsequent laparotomy, with low morbidity and mortality.