Surgical Management for Hydatid Disease

Halezeroğlu, Semih; Okur, Erdal; Tanyü, M. Ozan

doi:10.1016/j.thorsurg.2012.04.004

Cited by 34 publications

(37 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They enter the thoracic duct via lymphatics of the small intestine and then through an internal jugular vein, and right side of the heart, and they enter the lungs. [ 13 ] This is a major pathway by which the hydatid larva bypasses the liver and involves the lungs. Another possible lymphatic pathway is the lymphatics of the dome of the liver and the diaphragm, which ascend to the parasternal and intercostal lymph nodes.…”

Section: Pathogenesismentioning

confidence: 99%

“…[ 20 ] The hydatid fluid is colorless, odorless, and sterile. [ 13 ] Its electrolyte level and pH are similar to that of human serum with a density of 1.007–1.015[ 11 ] and an intracystic pressure of 36.6 cm H 2 O (range: 21–61 cm H 2 O). [ 21 ] Hydatid fluid is antigenic; it can cause an anaphylactic reaction when the cyst ruptures.…”

Section: Hydatid Cyst Structurementioning

confidence: 99%

“…The growth rate of the hydatid cyst depends on the softness of the organ and surrounding tissue elasticity. [ 13 ] Lung cysts grow faster than the liver cysts, as lungs are softer in consistency than liver. Negative pleural pressure may further accelerate the growth rate of the cysts.…”

Section: Growth Of the Cystmentioning

confidence: 99%

See 2 more Smart Citations

Cystic pulmonary hydatidosis

et al. 2016

View full text Add to dashboard Cite

Cystic echinococcosis (CE) is a zoonotic parasitic disease caused by the larval stages of the cestode Echinococcus granulosus. Worldwide, pulmonary hydatid cyst is a significant problem medically, socially, and economically. Surgery is the definitive therapy of pulmonary hydatidosis. Benzimidazoles may be considered in patients with a surgical contraindication. This review will focus on pathogenesis, lifecycle, clinical features, and management of pulmonary hydatid disease.

show abstract

Section: Pathogenesismentioning

confidence: 99%

Section: Hydatid Cyst Structurementioning

confidence: 99%

See 1 more Smart Citation

Cystic pulmonary hydatidosis

et al. 2016

View full text Add to dashboard Cite

show abstract

“…One may speculate that the cyst rupture is related to the volume or location of the cyst or cyst wall width. In light of our data, we can only comment that the cyst size does not seem to contribute to spontaneous rupture [14].…”

Section: Discussionmentioning

confidence: 52%

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

et al. 2017

View full text Add to dashboard Cite

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 (...

show abstract

“…Surgery remains the cornerstone of the management of hepatic hydatid disease [3], [6], [7], [8], [9]. Care must be taken to overcome operative difficulties and achieve optimal outcome.…”

Section: Discussionmentioning

confidence: 99%

Huge echinococcal cyst of the liver managed by hepatectomy: Report of two cases

Pavlidis

Symeonidis

Psarras

et al. 2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

HighlightsEchinococcocal cysts are predominantly located in the right liver. They are usually solitary and asymptomatic, but large cysts can cause compression symptoms. Surgeons in endemic countries usually select conservative approaches because they are relatively easy to perform and have lower morbidity rates. Resection is technically demanding, especially in cases in which cysts are of considerable dimensions like our two reports.We report two cases of huge (25 cm and 20 cm in diameter, respectively) echinococcal cysts located in the left liver, which presented as a large palpable mass causing compression symptoms. Diagnosis was established with CT scan showing a cystic mass with the characteristic daughter cysts and reactive layer (pericystic wall) consisting of fibrous connective tissue and calcifications. Both patients were treated radically with left hepatectomy and had uneventful postoperative course and no recurrence upon follow-up.The treatment of liver echinococcal cysts represent a unique surgical challenge. Even though conservative approaches are less technically demanding, the radical approach with resection has better outcome with less recurrences, when performed by experienced surgeons. Resection rather than drainage is the management of choice for such huge liver echinococcal cysts.

show abstract

Surgical Management for Hydatid Disease

Cited by 34 publications

References 45 publications

Cystic pulmonary hydatidosis

Cystic pulmonary hydatidosis

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

Huge echinococcal cyst of the liver managed by hepatectomy: Report of two cases

Contact Info

Product

Resources

About