Minimally invasive transthoracotomy–transphrenotomy for concurrent hepatic and pulmonary hydatid disease

Lone, Ghulam Nabi; Bhat, Mohd Akbar; Ali, Noorbatcha Ibrahim; Ahangar, Abdul Gani; Dar, Abdual Majeed; Sana, Ifshana

doi:10.1002/bjs.4950

Cited by 18 publications

(8 citation statements)

References 8 publications

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“…We do not recommend video-assisted thoracoscopic surgery (VATS) because the removal of the cystic membrane is possible but there is a high risk of spillage of cyst contents (fluid and scolices) with pleural dissemination, empyema, and anaphylactic shock. Single-stage can be used to achieve combined resection via a right posterolateral thoracotomy [5][6][7][8][9][10][11][12]. Goyal et al [18] believe that single-stage using the transdiaphragmatic approach reduces the diaphragmatic function, increases spread of infection, bile leakage, and cross contamination through the phrenotomy.…”

Section: Discussionmentioning

confidence: 99%

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Single-Stage Transthoracic Surgery of Right Pulmonary and Hepatic Hydatid Cysts: A Retrospective Study of Fourteen Patients

Kabiri

Hammoumi

Bhairis

et al. 2021

Surgical Infections

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Background: The association of pulmonary and hepatic hydatid cysts is rare. Managing this condition with low mortality and complications is a challenge. The aim of this study is to put forward our experience in managing both sites in single-stage posterolateral thoracotomy. Patients and Methods: A retrospective study of 14 patients who underwent single-stage posterolateral thoracotomy and phrenotomy to treat right lung and liver hydatid cysts between January 2010 and December 2019 were reviewed. Results: Fourteen of 135 patients (10.4%) with double location of hydatid disease were treated in our department for pulmonary hydatid cysts in the same period. There were nine males and five females who were 20 to 72 years old (average age, 42.7 years). Chest computed tomography (CT) and abdominal scan were performed in all cases. The surgical approach was posterolateral thoracotomy and phrenotomy without laparotomy in all cases. Conservation of hepatic and pulmonary parenchymas was possible in 13 patients (92.8%). Average operative time was 122 minutes (range, 95-210 minutes) and the average post-operative hospital stay was 8.7 days. Post-operative complications occurred in two (14.3%) cases, one was atelectasis and the other persistent biliary and air leakage. There was no post-operative mortality. All patients received post-operative medical treatment for three to six months and there was no recurrence after an average follow-up of 26 months. Conclusion: Single-stage thoracotomy is a better option than thoracotomy and laparotomy for the management of double located hydatid cysts. It has a lower complication rate, shorter hospital stay, and rapid resumption of normal activity.

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Section: Discussionmentioning

confidence: 99%

“…Surgical treatment was through a posterolateral thoracotomy [1,2,[5][6][7][8][9][10][11][12]. The first step is treatment of the pulmonary cyst.…”

Section: General Basis Of Surgical Treatmentmentioning

confidence: 99%

Single-Stage Transthoracic Surgery of Right Pulmonary and Hepatic Hydatid Cysts: A Retrospective Study of Fourteen Patients

Kabiri

Hammoumi

Bhairis

et al. 2021

Surgical Infections

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“…La recurrencia pulmonar fue de 5,6% y la hepática de 0%, con un seguimiento de 28 ± 6,8 meses. Lone y cols 14 , realizaron el abordaje transtorácico-transfrénico a través de toracotomía anterior en 25 pacientes, con baja reserva pulmonar y quistes no complicados, menores de 10 cm. El tiempo operatorio promedio fue 75 min (rango de 70 a 110 min) y el promedio de hospitalización fue de 5,2 días.…”

Section: Discussionunclassified

Abordaje transtorácico para la hidatidosis pulmonar derecha y hepática concomitante

et al. 2013

Rev Chil Cir

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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.

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“…In contrast to single stage thoracolaparotomy and two-staged posterolateral thoracotomy and laparotomy, the trauma is limited to the use of one intercostal space [13].…”

Section: Discussionmentioning

confidence: 99%

One-stage surgical management for lung and liver hydatid diseases

et al. 2011

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Background: Hydatid disease remains a serious health problem in Mediterranean areas. We reviewed the efficacy of a single-stage operation in coexisting cysts of lung and liver in patients.Methods: Forty-one patients operated for the cysts located on the dome of the liver and right lung with onestage surgical approach on between 1990 and 2010. There were 19 males (46%) and 22 females (54%) patients. The age range was 10-82 years, with a median age of 34 years.Results: All patients had simultaneous operations for both organs via right thoracotomy and phrenotomy except one patient. Surgical techniques used in the lung were cystotomy and capitonnage, with wedge resection of the destroyed lung parenchyma in three (7.3%) and additional decortication in three (7.3%). Cystotomy was applied with membrane removal in the liver cysts. Postoperative complications were prolonged biliary drainage, empyema, prolonged air leak, pleural effusion in one case (2.4%) each, respectively. All patients managed successfully and discharged. No hospital mortality occurred.Conclusions: We propose that concomitant right pulmonary and liver dome hydatid cysts can be treated effectively and safely in a one-stage operation through a right posterolateral thoracotomy and phrenotomy.

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Minimally invasive transthoracotomy–transphrenotomy for concurrent hepatic and pulmonary hydatid disease

Abstract: This minimally invasive approach is associated with less morbidity and better cosmesis than conventional procedures. It represents an excellent alternative to other procedures in selected patients.

Cited by 18 publications

References 8 publications

Single-Stage Transthoracic Surgery of Right Pulmonary and Hepatic Hydatid Cysts: A Retrospective Study of Fourteen Patients

Single-Stage Transthoracic Surgery of Right Pulmonary and Hepatic Hydatid Cysts: A Retrospective Study of Fourteen Patients

Abordaje transtorácico para la hidatidosis pulmonar derecha y hepática concomitante

One-stage surgical management for lung and liver hydatid diseases

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