Surgical treatment of hydatid cyst of the lung: review of 30 cases

Yalçınkaya, İrfan; Er, Mukremin; Özbay, Bülent; Uğraş, Serdar

doi:10.1183/09031936.99.13244199

Cited by 44 publications

(27 citation statements)

References 11 publications

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“…The most valuable diagnostic method in pulmonary hydatid disease is the plain chest radiograph [11,[27][28][29][30][31]. Typical chest radiographic appearances of uncomplicated pulmonary hydatid disease are one or more homogeneous round or oval masses with smooth borders surrounded by normal lung tissue ( fig.…”

Section: Diagnosismentioning

confidence: 99%

Pulmonary echinococcosis

Morar¹,

Feldman²

2003

Eur Respir J

273

317

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Echinococcosis or hydatid disease is caused by larvae of the tapewormEchinococcus. Four species are recognised and the vast majority of infestations in humans are caused byE. granulosus.E. granulosuscauses cystic echinococcosis, which has a worldwide distribution. Humans are exposed less frequently toE. multilocularis, which causes alveolar echinococcosis.E. vogeliandE. oligarthrusare rare species and cause polycystic echinococcosis.In cystic echinococcosis, humans are an accidental host and are usually infected by handling an infected dog. The liver and lungs are the most frequently involved organs. Pulmonary disease appears to be more common in younger individuals. Although most patients are asymptomatic, some may occasionally expectorate the contents of the cyst or develop symptoms related to compression of the surrounding structures. Other symptoms of hydatid disease can result from the release of antigenic material and secondary immunological reactions that develop from cyst rupture. The cysts are characteristically seen as solitary or multiple circumscribed or oval masses on imaging. Detection of antibody directed against specific echinococcal antigens is found in only approximately half of patients with pulmonary cysts. Surgical excision of the cyst is the treatment of choice whenever feasible.

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Section: Diagnosismentioning

confidence: 99%

Pulmonary echinococcosis

Morar¹,

Feldman²

2003

Eur Respir J

273

317

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“…También se ha descrito el abordaje en un tiempo a través de tóraco-laparotomía 5,12 . El abordaje transtorácico-transfrénico es una alternativa menos invasiva, que permite la resolución en un procedimiento quirúr-gico y anestésico, cuando los quistes hepáticos se ubican en el domo.…”

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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“…Among various surgical procedures that have been described in the literature, cystotomy and capitonnage and non-capitonnage methods were mostly discussed [20]. There is still no consensus if capitonnage is necessary which is widely used to obliterate the residual cavity.…”

Section: Discussionmentioning

confidence: 99%

“…Right lower lobe is the most frequently affected area of the lung, but it can be located in any pulmonary lobe [18,20].…”

Section: Discussionmentioning

confidence: 99%

Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi

Özpolat¹,

Yazkan²,

Günal³

et al. 2017

TURKISH JOURNAL of CLINICS and LABORATORY

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Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi Material and Method:A retrospective evaluation of 62 patients operated for hydatid cysts of lung were done. The patients were divided into two groups whether the pulmonary cyst was giant (group A, n = 23) or smaller in diameter (group B, n = 39).The groups were compared for age, gender, clinical symptoms, cyst location and number, preoperative complication, type of surgical procedure performed, postoperative prolonged air leak, chest tube removal day, postoperative complications, duration of hospitalization, morbidity and mortality.Results: No significant difference was detected between mean age, gender and site of location of the cyst (P = 0.925, P = 0.293, P = 0.179). Twenty-one (91%) of the cases had solitary cyst in group A, whereas nearly 1/3 had multiple cysts in group B. Solitary predominance for giant hydatid cysts was significant (P = 0.005). Cystotomy plus non-capitonnage method was performed in 13 (56%) cases in group A and, 8 (20%) cases in group B. The frequency of cystotomy plus capitonnage method was significantly higher in group B compared to group A (P = 0.004). Prolonged air leak was seen in 5 (22%) cases in group A and 2 (5%) cases in group B. Mean chest tube removal time was 4.57 ± 2.48 days in group A and 2.49 ± 1.63 days in group B. Duration of hospitalization was 8.48 ± 3.39 days in group A and 5.69 ± 1.80 in group B and the difference for both parameters were significant statistically (P < 0.001 and P < 0.001). Postoperative complications other than prolonged air leak were seen in two cases in group A and three cases in group B. There was no mortality in either groups. Conclusions:The giant hydatid cysts had a predominance to be solitary and mean chest tube removal time and duration of hospitalization was prolonged independent from type of operation performed. Conservative surgical interventions, whether capitonnage or non-capitonnage methods were performed, had excellent outcomes in both groups.

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Surgical treatment of hydatid cyst of the lung: review of 30 cases

Cited by 44 publications

References 11 publications

Pulmonary echinococcosis

Pulmonary echinococcosis

Abordaje transtorácico para la hidatidosis pulmonar derecha y hepática concomitante

Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi

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