Surgery for Thoracic Hydatid Disease: A North American Experience

Novick, Richard J.; Tchervenkov, Christo I.; Wilson, James; Munro, Darrell D.; Mulder, David S.

doi:10.1016/s0003-4975(10)60253-6

Cited by 32 publications

(34 citation statements)

References 31 publications

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“…The incidence of asymptomatic pulmonary hydatidosis is reported to be highly variable: 10% in Tor's study but up to as high as 74% in Athanassiadi's study [6,[9][10][11]. In our study, the rate was 18%.…”

Section: Discussionmentioning

confidence: 40%

“…Haemoptysis is a Asymptomatic 10% -50% 74% 38% 19% 18% Cough 54% 27% --65% 66% 54% Chest pain 49% 14% --33% 43% 36% Dyspnoea 10% 14% ---11% 25% Haemoptysis 21% 33% --8% 19% Hydroemesis 5% 11% 38% 6% -44% 10% Infection 14% 7% 2.4% 4% -27% 10% Pleuritis ---9% --5% Pneumothorax --2.4% 4% --3% Total patients 288 110 42 85 196 60 206 C o p y r ig h t G e n e r a l P r a c t ic e A ir w a y s G r o u p R e p r o d u c t io n p r o h ib it e d predominant symptom in this study, confirming that one should consider pulmonary hydatidosis in the differential diagnosis of haemoptysis in this setting. Spontaneous pneumotharax, which may be of the tension-type, was not frequent but was always hard to treat because of the presence of bronchopleural fistulae [1,6,[9][10][11]. Future study on the incidence of haemoptysis and pneumothorax resulting from hydatidosis would seem indicated.…”

Section: Discussionmentioning

confidence: 99%

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Clinical and radiological manifestations of 206 patients with pulmonary hydatidosis over a ten-year period

Darwish

2006

Primary Care Respiratory Journal

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Section: Discussionmentioning

confidence: 40%

Section: Discussionmentioning

confidence: 99%

Clinical and radiological manifestations of 206 patients with pulmonary hydatidosis over a ten-year period

Darwish

2006

Primary Care Respiratory Journal

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“…Kist içindeki parazit ölmüş olsa bile kalan germinatif membran enfeksiyon kaynağı olabileceği için operasyonla uzaklaştırılmalıdır. [7][8][9] Günümüzde cerrahi tedavide amaç, kistin ve germinatif membranın uzaklaştırılması ve bu sırada kontaminasyondan kaçınılmasıdır.…”

Section: Discussionunclassified

“…Bu oran çeşitli serilerde %10-20 arasında değiş-mektedir. [7][8][9]11,12 Bilateral kistlerde, yaşlı ve çocuk hastalar dışında, olgunun kardiyopulmoner rezervi normalse tek evreli cerrahi öneril-mektedir. Ancak ilk önce büyük kistin çıkarılmasının ardın-dan diğer akciğerdeki kiste yönelik iki evreli cerrahi işlem uygulanmasını öneren görüşler de vardır.…”

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Hydatid Cyst of Lung and Surgical Therapy

Sivrikoz¹,

Boztepe²,

Döner³

et al. 2011

Solunum

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ÖZETAmaç: Bu çalışmada, kliniğimizde Kasım 2003-Temmuz 2010 tarihleri arasında hidatik kist tanısı ile opere edilen hastaların cerrahi tedavi sonuçları retrospektif olarak tartışıldı. Gereç ve yöntem:Kliniğimizde 50 erişkin olgu akciğer hidatik kisti tanısı ile opere edildi. Yirmi altı olgu erkek (%52), 24 olgu (%48) kadındı. Olguların yaş ortalaması 45,8 (20-76) yıldır. Olguların yaş, cinsiyet gibi demografik özellikleri, şikâyetleri, klinik bulguları, tanısal ve radyolojik özellikleri, yapılan cerrahi uygulamalar, cerrahi tedavi sonuçları ve cerrahi sonrası izlemleri kayıt altına alınarak değerlendirildi. Bulgular:Hidatik kist 25 olguda sağ hemitoraksta, 18 olguda sol hemitoraksta, yedi olguda bilateral yerleşimliydi. Kırk dört hastaya kistotomi-kapitonaj (%88), beş hastaya wedge rezeksiyon (%10), bir hastaya pnömonektomi (%2) uygulandı. Hastalara postoperatif iki ay boyunca albendazol tedavisi verildi, iki yıllık takip süresince nüks saptanmadı.Sonuç: Akciğer kistlerinin primer tedavisi cerrahidir. Hem kistin boşaltılması ve germinatif membranın çıkarılması hem de parankim koruyucu niteliği ile kistotomi-kapitonaj yeterli iyileşme sağ-layan bir yöntemdir.Anah tar kelimeler: kist hidatik, kistotomi-kapitonaj, akciğer ABST RACTAim: In this study, the surgical results of patients operated with the diagnosis of hydatid cyst between November 2003 and July 2010 in our clinic were discussed retrospectively. Material and method:A total of 50 adult patients were operated with the diagnosis of pulmonary hydatid cyst in our clinic. Twentysix cases (52%) were male, twenty-four cases (48%) were female. The mean age of patients was 45,8 (20-76) years. The demographic charactheristics of patients such as age and gender, symptoms, clinical findings, diagnostic and radiological features, surgical procedures, results of surgical treatments and postoperative followup results were evaluated based on the records.Results: Twenty-five of hydatid cysts were located in the right hemithorax, 18 of them were located in the left hemithorax and 7 of hydatid cysts were located bilaterally. Cystotomy and capitonnage was performed in 44 (88%) patients, wedge resection was performed in 5 (10%) patients and 1 (2%) patient underwent pneumonectomy. All patients were treated with albendazole postoperatively for two months and there was no recurrence. Conclusion:Primary treatment of lung hydatid cysts was surgery. The fluid of the cysts can be aspirated, germinative membrane can be removed and parenchyma can be protected with cystotomy-capitonnage method.For this reason, cystotomy capitonnage method provides enough improvement.

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