Simultaneous operation for hydatid cysts of right lung and liver

Peleg, H; Best, Lael‐Anson; Gaitini, Diana

doi:10.1016/s0022-5223(19)38548-4

Cited by 48 publications

(29 citation statements)

References 10 publications

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“…However, some authors recommend the use of scoliocidal agents by injecting them into the endocystic cavity to kill protoscoleces. 8,14 We do not agree with them, because unfortunately this may cause undesirable complications and even death due to leaking of scoliocidal agents into ectocystic cavity where several bronchial openings lay. We used needle aspiration involving trocar suction and eliminated the risk of intraoperative contamination.…”

Section: Discussionmentioning

confidence: 98%

“…We do not recommend albendazole in the preoperative period because when the parasite in the lung dies, the membranes are retained and the patient requires an operation for recurrent infection. 8 For the same reason percutaneous aspiration is not suitable for the treatment of pulmonary hydatid cysts. We now routinely prescribe albendazole (10 mg/kg/d) only after all surgically accessible multiple intact cysts have been removed.…”

Section: Discussionmentioning

confidence: 99%

“…3,5,6 In children, hydatid disease is seen with a frequency of 64% in the lungs and 28% in the liver. 7 Peleg and colleagues 8 and Rami-Porta and coworkers 9 reported that synchronous pulmonary and hepatic hydatid disease may occur in 4% to 25% of cases.…”

mentioning

confidence: 99%

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Single-stage transthoracic approach for right lung and liver hydatid disease

Şahin¹,

Enön²,

Cangır³

et al. 2003

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Single-stage transthoracic approach for right lung and liver hydatid disease

Şahin¹,

Enön²,

Cangır³

et al. 2003

The Journal of Thoracic and Cardiovascular Surgery

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“…Concomitant lung and liver cysts were reported 6-20% in previous studies (2,5,(11)(12)(13)(14). In these cases, the need for the thoracic approach was dictated by two considerations: liver cysts are easily accessible through the diaphragm and co-existing intrathoracic complications can be managed at the same time (13,14).…”

Section: Discussionmentioning

confidence: 99%

Surgical approach of pulmonary hydatidosis in childhood

Kurkcuoglu

Eroğlu

Karaoğlanoğlu

et al. 2004

International Journal of Clinical Practice

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To review the results of different surgical treatment in hydatid disease of the lung in paediatric patients. A total of 102 children with pulmonary hydatid cysts were treated at the our clinic in the period from 1990 to 2001. There were 59 boys and 43 girls and their age ranged from 4 to 16 years (mean 10.2). Chest radiography, computed tomography and abdominal ultrasonography were the most commonly used diagnostic techniques. The cysts were located in the right lung in 68 patients (66.6%), in the left lung in 30 patients (29.4%), in both lungs in four patients (3.9%). Concomitant liver cyst hydatid was also detected in 12 patients that were located at right lung, and two patients with bilateral lung involvement. All cases were managed surgically. Of 14 cases with concomitant liver and intrathoracic hydatid cysts, right thoracophrenotomy was performed in 12, median sternotomy in one, and phrenotomy in other. Partial cystectomy and capitonnage were the most commonly used surgical methods. Post-operative complication was seen in 10 (9.8%) patients. Infection at the incision site occurred in four patients and air leakage in three. Complications of capitonnage were seen in three patients. One patient (1%) died at fourth post-operative day due to sepsis. Parenchyma protective operations should be performed especially in children living in endemic areas because of the possibility of recurrence of the disease in the future. Single stage operations in suitable cases decrease the cost of treatment and make surgical therapy suitable in both children and young adults, by reducing the hospital in-patient time and morbidity.

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“…Concurrent liver and lung hydatid disease has conventionally been managed by two‐stage posterolateral thoracotomy and laparotomy. However, some authors prefer simultaneous excision of the right lung and liver hydatid cyst during a posterolateral thoracotomy3, 4, 7, 8, or single‐stage thoracolaparotomy3, 7. Others4, 9 managed combined pulmonary and hepatic cysts by a transthoracic–transdiaphragmatic approach and bilateral lung hydatid cysts by median sternotomy.…”

Section: Discussionmentioning

confidence: 99%