Surgical treatment of hydatid cysts of the lung: report on 1055 patients.

Abstract

Of 1055 patients treated surgically for pulmonary hydatid disease, most (950) had isolated lung cysts, the other 105 having both liver and lung cysts. The chest radiograph was most valuable in diagnosis; the Casoni and Weinberg tests and blood eosinophil counts were found to be diagnostically unreliable. One thousand and seventy seven primary operations were performed. Cystotomy and capitonnage were carried out in 906 patients, 40 of whom also had decortication of the pleura. Other procedures included cystotomy with wedge resection of locally damaged lung (29 patients) and cyst removal with capitonnage by Ugon's method (33) or the Perez-Fontana procedure (8) and with costal resection for osteomyelitis in two cases. More radical surgery was carried out in 99 patients for longstanding infection or severe lung destruction. Postoperative complications occurred in 37 patients (3 5%) and the 30 day mortality rate was 1-7%. It is concluded that a lung conserving surgical operation is the treatment of choice for most patients with pulmonary hydatid disease. In patients with coexisting liver cysts the thoracic transpleural approach allowed the lung and liver cysts to be removed at the same session.

Fatal Undiagnosed Pulmonary Hydatid Cyst: A Case Report

“…Rupture of the hydatid cyst may be manifested by vigorous coughing and expectoration of membranes (5,6,15). No history of previous dyspnea or any other symptom relating to the hydatid cyst was present in the case presented here.…”

Analysis of pulmonary hydatid cysts underwent surgery

“…Dogan et al, in their series with 1055 cases, reported that cysts were located on the right in 60%, and on the left in 38% [16]. Additionally, in 2% of patients, cysts were located in both lungs, and in 7%, multiple lung cysts existed.…”

“…If right lung hydatid cyst accompanying liver hydatid cyst exist, thoracic diaphragmatic approach is applied. The preferred method of bilateral lung cysts is single-stage median sternotomy or two-stage thoracotomy, in which larger cysts are operated first [16]. Medical treatment is recommended for patients for whom surgical approach is not deemed appropriate, who have major vascular involvements, and many small cysts involving one or more organs [21].…”

Constrictive pericarditis due to hepatopericardial fistulas of hepatic echinococcosis

“…The diagnostic and/or therapeutic use of invasive techniques and interventional radiological procedures carries the risk of puncturing cysts, and this could lead to anaphylactic reaction, formation of secondary cysts, or even sudden death. [6,8] Though successful results have been reported with mebendazole and albendazole, surgical therapy is still the most favored method for treating hydatid cysts. Some authors have suggested using albendazole as a supportive therapy for surgery in order to decrease the incidence of recurrence.…”