Kyste hydatique pulmonaire chez l’enfant traité par thoracoscopie: huit ans d’expérience

Khattala, Khalid; Elmadi, Aziz; Raiss, Mohamed; Bouamama, Hanan; Bouabdallah, Youssef

doi:10.11604/pamj.2013.15.96.1873

Cited by 3 publications

(5 citation statements)

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“…We believe that the uniportal approach is gaining importance and becoming the preferred method in thoracoscopy. c) Duration of the procedure The majority of surgeries lasted between 60 and 90 minutes, similar to the duration reported by Khalid Khattala et al at Hassan II University Hospital in Fez, where the average surgery time for managing hydatid cysts in children through thoracoscopy was found to be 90 minutes [10].…”

Section: Age and Sexsupporting

confidence: 72%

Thoracoscopy in Cameroon: Indications, Technics and Short Term Results

Bang,

Mbele,

Betou

et al. 2024

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Introduction: Thoracoscopy is a video-assisted surgical approach that mirrors the techniques used in thoracotomy. Our aim is to map the current state of thoracoscopy practice in Cameroon's hospitals. Methods: This was a descriptive study that collected both retrospective and prospective data over 57 months across four hospitals in Cameroon. It included 13 patients and focused on variables such as socio-demographic factors, clinical profiles, surgical procedures, and postoperative follow-up. Results: Thirteen patients, predominantly male (84.6%, n = 11), with a mean age of 37.5 ± 16 years, were enrolled. Alcohol use (61.5%) and smoking (38.5%) were the most common past histories. The major complaints were dyspnea (84.6%) and chest pain (58.3%). The primary surgical procedure was clot-free thoracoscopy in 30.8% of cases, mainly for persistent hemothorax (41.8%). Most surgeries were elective (76.9%) and performed under general anesthesia with selective intubation (61.5%). The most common approach was single-port thoracoscopy (U-VATS) (76.9%), with no reported difficulties; however, one intraoperative incident occurred and was successfully treated. Drainage was performed systematically in all patients, and one case required conversion to open surgery. Postoperative complications were minor (Clavien-Dindo grade I) and mainly consisted of pain, with a mortality rate of 15.4%. No significant association was found between risk factors and the occurrence of complications or postoperative mortality. Conclusion: Thoracoscopy, a novel approach in our context, primarily focuses on minor thoracic surgeries.

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Section: Age and Sexsupporting

confidence: 72%

Thoracoscopy in Cameroon: Indications, Technics and Short Term Results

Bang,

Mbele,

Betou

et al. 2024

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“…Other signs have been reported, such as seizures, behavioral and psychiatric disorders, 4 as well as consciousness disorders leading to a true coma. 5 Localization in the posterior cerebral fossa is exceptional. Intracranial hypertension in this case is late.…”

Section: Discussionmentioning

confidence: 99%

“…It is manifested by headaches, morning vomiting relieving headaches, visual disturbances, and deficit signs. Other signs have been reported, such as seizures, behavioral and psychiatric disorders, 4 as well as consciousness disorders leading to a true coma 5 . Localization in the posterior cerebral fossa is exceptional.…”

Section: Discussionmentioning

confidence: 99%

“…An early diagnosis is mandatory as complications are associated with high mobidity and mortality rates. 5 Surgery is the radical treatment for cerebral hydatid cyst. 4 We report a case of pulmonary, hepatic, and cerebral hydatid disease.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, searching for this locations is systematic. An early diagnosis is mandatory as complications are associated with high mobidity and mortality rates 5 . Surgery is the radical treatment for cerebral hydatid cyst 4 …”

Section: Introductionmentioning

confidence: 99%

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Multiple hydatid cyst disease revealed by an expansive intracranial process: A case report

Nechi

Gharbi

Douggaz

et al. 2023

Clinical Case Reports

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Hydatid disease is a real public health problem in developing countries. Cerebral localization is rare; it does not exceed 2%. It is more frequent in children and adolescents. It is often primary in children. In adults, it is less frequent and generally associated with other localizations. We report the case of a 60-year-old Tunisian patient with pulmonary, hepatic and cerebral hydatid cyst, revealed by neurological symptoms with an expansive intracranial process on brain imaging.

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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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Kyste hydatique pulmonaire chez l’enfant traité par thoracoscopie: huit ans d’expérience

Cited by 3 publications

References 4 publications

Thoracoscopy in Cameroon: Indications, Technics and Short Term Results

Thoracoscopy in Cameroon: Indications, Technics and Short Term Results

Multiple hydatid cyst disease revealed by an expansive intracranial process: A case report

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

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