Giant hydatid lung cysts in the Canadian northwest: Outcome of conservative treatment in three children

Lamy, André; Cameron, Brian H.; LeBlanc, Jacques G.; Culham, J A; Blair, Geoffrey K.; Taylor, Glenn

doi:10.1016/0022-3468(93)90149-f

Cited by 43 publications

(32 citation statements)

References 5 publications

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“…Giant hydatid cyst of the lung is mostly seen as solitary cysts and less commonly as multiple [5,21]. In our series the two groups did not differ significantly with respect to location of the cyst however the solitary predominance of giant cysts was significant as previously reported.…”

Section: Discussionsupporting

confidence: 73%

Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi

Özpolat¹,

Yazkan²,

Günal³

et al. 2017

TURKISH JOURNAL of CLINICS and LABORATORY

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Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi Material and Method:A retrospective evaluation of 62 patients operated for hydatid cysts of lung were done. The patients were divided into two groups whether the pulmonary cyst was giant (group A, n = 23) or smaller in diameter (group B, n = 39).The groups were compared for age, gender, clinical symptoms, cyst location and number, preoperative complication, type of surgical procedure performed, postoperative prolonged air leak, chest tube removal day, postoperative complications, duration of hospitalization, morbidity and mortality.Results: No significant difference was detected between mean age, gender and site of location of the cyst (P = 0.925, P = 0.293, P = 0.179). Twenty-one (91%) of the cases had solitary cyst in group A, whereas nearly 1/3 had multiple cysts in group B. Solitary predominance for giant hydatid cysts was significant (P = 0.005). Cystotomy plus non-capitonnage method was performed in 13 (56%) cases in group A and, 8 (20%) cases in group B. The frequency of cystotomy plus capitonnage method was significantly higher in group B compared to group A (P = 0.004). Prolonged air leak was seen in 5 (22%) cases in group A and 2 (5%) cases in group B. Mean chest tube removal time was 4.57 ± 2.48 days in group A and 2.49 ± 1.63 days in group B. Duration of hospitalization was 8.48 ± 3.39 days in group A and 5.69 ± 1.80 in group B and the difference for both parameters were significant statistically (P < 0.001 and P < 0.001). Postoperative complications other than prolonged air leak were seen in two cases in group A and three cases in group B. There was no mortality in either groups. Conclusions:The giant hydatid cysts had a predominance to be solitary and mean chest tube removal time and duration of hospitalization was prolonged independent from type of operation performed. Conservative surgical interventions, whether capitonnage or non-capitonnage methods were performed, had excellent outcomes in both groups.

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Section: Discussionsupporting

confidence: 73%

Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi

Özpolat¹,

Yazkan²,

Günal³

et al. 2017

TURKISH JOURNAL of CLINICS and LABORATORY

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“…Giant cysts have 5% higher morbidity than simple cysts (8). Prolonged air leak (10-19%), empyema (7%), sterile air space, and pneumonia are frequently observed (9,10,12,15). Two patients (0.9%) in our series had air leaks continuing for more than 10 days and they had a second thoracotomy to control air leakage.…”

Section: Discussionmentioning

confidence: 66%

“…The patient neglected control investigations and the cyst grew to 3.5 cm about one year later. Surgical treatment may be planned in a different way for giant cysts (12). Lung tissue should be preserved and resection should be avoided whatever the cyst size.…”

Section: Discussionmentioning

confidence: 99%

Our results in surgical treatment of hydatid cyst of the lungs

Şehitoğulları

2007

ELECTRON J GEN MED

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Aim:The cases of pulmonary hydatid cysts are frequently seen especially in Eastern Anatolia Region because the living source is stock-breeding. We aimed to discuss 102 patients operated with the diagnosis of pulmonary hydatid cyst in 2.5 years' period. The patients with hydatid cyst disease who were applied to our clinic, were evaluated in light of literature.Methods: 102 patients were diagnosed with hydatid cyst clinically and radiologically between June 2002 and January 2005. Their ages ranged between 4-65 years with the mean age of 23 years. Thoracotomy was applied to all patients.Results: Cyst localization was unilateral in 96 and bilateral in 6 of them. 10 patients had also cyst in the liver. Cyst was perforated in 56% of the patients. Enucleation was applied in 3 patients, cystectomy in 3 patients and cystotomy+capitonnage was applied to the remaining. In bilateral cases, operation was applied to the other side after one month from the first operation. Percutaneous drainage was applied in coordination with radiology department in the presence of hepatic hydatid cyst. In these cases and in the presence of multipl cysts, albendazole treatment was applied. Lower lobectomy (2 right, 1 left) was performed in 3 cases. No mortality or recurrence was observed.Conclusion: Cystotomy+capitonnage is still the most valid surgical method in pulmonary hydatid cyst cases because it is a method preserving the parenchyma.

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“…p0755 CE in humans: Reports of human CE are found as early as 1883, and until the 1950s, most cases occurred in immigrants originating in European countries such as Iceland and Italy, where livestock strains were endemic (Cameron, 1960;Finlayson and Fergus, 1963). After this time, autochthonous cases were routinely detected as incidental findings during chest radiographs for tuberculosis screenings, with higher rates reported for northern and indigenous peoples than any other ethnic group (Lamy et al, 1993;Miller, 1953). Today, as there is no national surveillance, CE prevalence can only be estimated by integrating data from serosurveillance studies, hospitalization data and case reports.…”

Section: U N C O R R E C T E D P R O O Fmentioning

confidence: 99%