One-Stage Procedure for Lung and Liver Hydatid Cysts

Aghajanzadeh, Manouchehr; Safarpoor, F.; Amani, H; Alavi, Azin

doi:10.1177/021849230801600510

Cited by 20 publications

(42 citation statements)

References 15 publications

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“…Hydatid cyst can be found as solitary or multiple in numbers 4. The prevalence of multiple pulmonary cysts and bilateral cysts is 30% and 4% 3. In our case, the patient was found to have multiple hydatid cysts involving both lungs and liver.…”

Section: Discussionmentioning

confidence: 54%

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Disseminated hydatid cyst of liver and lung

Iqbal¹,

Hussain

Idress

et al. 2017

BMJ Case Reports

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Hydatid cyst commonly affects liver followed by lung, but rarely affects both organs simultaneously. Here we presented a patient who presented with concurrent involvement of both lungs and liver. Patient presented with dyspnoea and generalised weakness with bilateral rounded opacities throughout the lung field of variable sizes. CT scan chest with contrast showed multiple rounded soft tissue density in both lungs and liver. Patient underwent mini thoracotomy which revealed multiple cystic lesions throughout lung. ELISA for anti- antibodies shows positive titres. Due to extensive involvement, patient was started on medical treatment albendazole. The patient showed significant improvement both clinically and radiographically on treatment. Thus long-term medical treatment helps in such cases where surgery is not possible.

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Section: Discussionmentioning

confidence: 54%

“…Hydatid cyst can occur anywhere in the body but the two most commonly organs involved are liver and lungs 2. Concurrent involvement of lung and liver accounts for 4% to 25% of patients with hydatid disease as depicted in the case report published by Aghajanzadeh et al 3. Hydatid cyst can be found as solitary or multiple in numbers 4.…”

Section: Discussionmentioning

confidence: 97%

Disseminated hydatid cyst of liver and lung

Iqbal¹,

Hussain

Idress

et al. 2017

BMJ Case Reports

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“…127 hastanın 23 ünde (%18) eş zamanlı akciğer ve karaciğer kistinin olduğunu bildirmişlerdir [8]. 152 hastalık bir başka seride ise bu oran %19.7 (30 olgu) olarak bildirilmiştir [9]. Gezer ve ark.…”

Section: Discussionunclassified

One-Stage Operation for Hydatid Disease of Right Lung and Liver; Analysis of the 21 Patients

Aytekin¹,

Tülüce²,

Demiröz³

et al. 2015

Ann Clin Anal Med

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ÖzetAmaç: Bu çalışmanın amacı, eş zamanlı akciğer ve karaciğer kist hidatikli hastalarımızdaki tek aşamalı operasyon deneyimlerimizi ve sonuçlarımızı incelemektir. Gereç ve Yöntem: 2002 ile 2011 yılları arasında akciğerin yanı sıra, eş zamanlı karaciğer kist hidatiği de mevcut olan 29 olgu incelendi. Bu olguların 21'inde, karaciğer kistleri kubbe yerleşimliydi. Bu olgular sağ torakotomi ve frenotomi ile opere edildiler. Yirmibir olguda, yaş, cinsiyet, semptomlar, kist boyutları, cerrahi yöntem, operasyon süresi ve komplikasyonlar retrospektif olarak incelendi. Bulgular: Ortalama yaş 60,0±16,72 yıl olarak hesaplandı. Operasyon uygulanan 21 hastanın 8'i erkek,13'ü kadın idi. Öksü-rük ve yan ağrısı en sık karşılaşılan semptom iken, 2 hastada izole karın ağrısı görüldü. 4 hasta ise asemptomatikti. Akciğer kistleri için, kist çapı ortalama 7,50±1,29 cm , karaciğer için 7,0±1,76 cm olarak bulundu. Akciğerdeki kistler kistotomi ve/veya kapitonaj yada wedge yöntemi ile tedavi edildiler. Karaciğerdeki kistler için seçilen tedavi yöntemi ise kistotomi ve kavitenin inversiyonu ile subdiyafragmatik bölgenin drene edilmesiydi. Operasyon süresi ortalama 145,0±15,26 dakika idi. İki hastada uzamış safra drenajı gözlendi. Mortalite izlenmedi. Tartışma: Eş zamanlı sağ akciğer ve subdiyafragmatik karaciğer hidatik kistli hastalarda, sağ torakotomi ve frenetomi ile transdiyafragmatik olarak karaciğer kistine müdahale, güvenilir ve efektif bir yöntemdir. Anahtar KelimelerHidatik Kist; Akciğer, Karaciğer; Tek Aşamalı Cerrahi Abstract Aim: The purpose of this study is to examine our single stage operation experiences of patients with lung and liver hydatid cyst and to examine the results. Material and Method: Between 2002 and 2011, 29 patients with both lung and liver hydatid cyst were examined. Among those, 21 patients had cysts located on the dome of the liver. Those patients were operated on with phrenotomy through a right thoracotomy. 21 patients are retrospectively examined by reviewing age, gender, symptoms, cyst sizes, operation methods, operation duration, and complications. Results: The age mean was 60,0±16,72 cm. Of the 21 operated patients, 8 were males and 13 were females. While cough and abdominal pain were the most common symptoms, isolated abdominal pain was observed at 2 patients. 4 patients were asymptomatic. It is found that the average diameter was 7,50±1,29 cm for lung cysts, 7,0±1,76 cm for liver cysts. Lung cysts were managed through cystotomy with / without capitonnage or wedge methods. On the other hand, the chosen method for liver cyst was cystotomy and cavity invertion with drainage of subdiaphragmatic area. The average operation duration was 145,0±15,26 minutes. Prolonged biliary drainage was observed at two patients. There was no mortality. Discussion: The transdiafragmatic liver cyst management by frenetomy via right thorocotomy is a reliable and effective method at patients with simultaneous right lung and subdiafragmatic liver hydatid disease patients.

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“…No hubo reoperaciones ni mortalidad. Por último, Aghajanzadeh y cols 15 , reportaron una morbilidad de 7/30 (23,3%) pacientes: empiema = 2, fístula broncopleural = 1, drenaje biliar excesivo = 3 y hemorragia = 1. El rango de hospitalización fue de 6 a 12 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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One-Stage Procedure for Lung and Liver Hydatid Cysts

Cited by 20 publications

References 15 publications

Disseminated hydatid cyst of liver and lung

Disseminated hydatid cyst of liver and lung

One-Stage Operation for Hydatid Disease of Right Lung and Liver; Analysis of the 21 Patients

Abordaje transtorácico para la hidatidosis pulmonar derecha y hepática concomitante

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