Surgical treatment of pulmonary hydatid cysts in pediatric patients

Sivrikoz, Muammer Cumhur; Tunçözgür, Bülent; Nacak, İbrahim; Elbeyli, Levent

doi:10.1002/ppul.10203

Cited by 7 publications

(7 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Akciğer hidatik kistinde sağ akciğer ve alt loblar en sık tutulan bölgelerdir. [2][3][4] Bizim serimizde sağ akciğer tutulumu %57, sağ alt lob tutulumu %35 olarak hesaplandı. Karaciğer ve akciğerin birlikte tutulumu %4-18 arasında bildirilmiştir.…”

Section: Discussionunclassified

“…Çapı 10 cm üzerindeki lezyonlar "dev hidatik kist" olarak adlandırılır. [2][3][4] Bizim olgularımızda ortalama kist çapı 6,3 cm olup dört olguda (%6) kist çapı 10 cm'nin üzerindeydi.…”

Section: Discussionunclassified

“…En sık görülen şikâyetler öksürük, nefes darlığı, hemoptizi, yan ağrısıdır. 2,3 Bizim olgularımızda en sık klinik şikâyet %42 oranıyla öksü-rüktü. Serimizde olguların %32'sinin asemptomatik olduğu saptandı.…”

Section: Discussionunclassified

“…Postoperatif dönemde intakt kistlere dört hafta, perfore kistlere sekiz hafta süreyle 10 mg/kg/gün dozunda albendazol (Andazol-Biofarma-TÜRKİYE) verildi. 2,3 Olguların karaciğer enzimleri (ALT, AST) iki haftalık aralıkla kontrol edildi. Karaciğer enzimlerinde yükselme olması durumunda albendazol tedavisi sonlandırıldı.…”

Section: Gereç Ve Yöntemunclassified

See 3 more Smart Citations

Hydatid Cyst of Lung and Surgical Therapy

Sivrikoz¹,

Boztepe²,

Döner³

et al. 2011

Solunum

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionunclassified

Section: Gereç Ve Yöntemunclassified

See 2 more Smart Citations

Hydatid Cyst of Lung and Surgical Therapy

Sivrikoz¹,

Boztepe²,

Döner³

et al. 2011

Solunum

View full text Add to dashboard Cite

show abstract

“…Although surgical treatment is the primary treatment method, there is no consensus on prophylactic treatment and methods (3).…”

Section: Introductionmentioning

confidence: 99%

Çocuklarda idrar örneklerinden saptanan toplum kaynaklı gram negatif mikroorganizmaların dağılımı ve 2003-2010 yılları arasında antibiyotik direncindeki artışın değerlendirilmesi

...

2012

Tpa

View full text Add to dashboard Cite

SummaryAim: Rupture of pulmonary hydatid cyst (HC) is a rare, yet very serious complication. The patients may present with cough and hydroptysis or with anaphylaxis and suffocation. Pediatric patients with ruptured pulmonary HC were evaluated retrospectively and therapeutical surgical and medical options were discussed. Material and Method: Between January 1999 and June 2012, a total of 956 patients with HC had undergone surgical treatment. One hundred and ten patients with intrapleural/intrabronchial HC rupture were evaluated retrospectively. Demographics, clinical presentation, treatment strategies and complications were recorded and discussed. Results: Ruptured HC's are manifested as cough-sputum (n=92) and massive hydroptysis (expectoration of cyst content) (n=47) in patients with pulmonary cysts. It was shown that rupture of superiorly localized cysts in lung was more likely. Two patients with ruptured pulmonary HC were admitted with suffocation. Severe anaphylactic reaction requiring cardiopulmonary resuscitation and mechanic ventilation was encountered in 9 patients (9%). Mild allergic reactions were observed in 13 patients. Simple cystostomy-drainage was the treatment of choice. Conclusions: Hydoptysis accompanied by allergic reaction should suggest the diagnosis of ruptured pulmonary HC in pediatric patients. All thoracic hydatid cysts should be operated as soon as they are diagnosed in order to avoid complications and surgery should be as conservative as possible. Simple cystotomy-drainage is adequate during thoracotomy. Benzimidazole should be administered postoperatively to avoid recurrences. (Turk Arch Ped 2013; 48: 323-326)

show abstract

Highlights in DD

Kiefer¹

2011

Developmental Dynamics

View full text Add to dashboard Cite

Dev Dyn 239:3000-3012) During the endoderm-intestine transition (EIT) in zebrafish, the primitive gut tube shape-shifts into the mature intestine, a single-layered absorptive epithelium. Although many aspects of this transformation, including tissue remodeling, proliferation, and differentiation, are conserved in mammals, little is known about the mechanisms that regulate this elaborate process. Mayer and colleagues follow up on their previous work showing that EIT is regulated by the rapamycin-sensitive TOR complex 1 (TORC1), a downstream component of the TOR pathway known for activating anabolic pathways required for cell growth and proliferation. Here, they show that an upstream inhibitor of TORC1, the tumor-suppressor kinase Lkb1, transiently redistributes to a predominantly nuclear subcellular localization during mid-EIT in both mouse and zebrafish embryonic intestinal epithelium. Nuclear-localized Lkb1 is known to lack kinase activity, correlating nicely with an observed concomitant transient activation of both mouse and zebrafish TORC1. Consistent with the idea that Lkb also regulates the timing of EIT, morpholino knockdown of the gene results in precocious cell proliferation, expression of intestinal differentiation markers, and morphological changes associated with differentiation. Moreover, epistasis experiments confirm that the TOR pathway functions downstream of Lkb during EIT. Together, the data point to a novel mechanism for controlling tissue maturation. Future efforts will concentrate on elucidating signals upstream of Lkb1.Who's right? What's left? (Far From Solved: A Perspective on What We Know About Early Mechanisms of Left-Right Asymmetry by Laura N. Vandenberg and Michael Levin, Dev Dyn 239:3131-3146) What would be the state of modern science if researchers failed to challenge assumptions? In this spirit, Vandenberg and Levin dispute the nearly foregone conclusion that left-right (L-R) asymmetry-the laterality of gene expression, organ positioning, and morphology-originates from directional ciliary flow during gastrulation. In doing so, they remind readers of two alternative hypotheses for biased gene distribution: the differential strand segregation model, and the intracellular/physiology model whereby ion channels and other mechanisms create bioelectrical asymmetries. Fueling the debate, they cite experimental results that are inconsistent with the ciliary model. For example, many organisms generate conserved L-R asymmetries entirely without, or before, the development of cilia, and vertebrate mutants exist in which ciliary defects are dissociated from errors of laterality. The review concludes with a discussion of specific areas of investigation that should fill existing knowledge gaps, and level the playing field. No matter what side of the debate the reader is on, the authors convincingly drive home the argument that to ignore these alternative avenues of research would be misguided.ASSET for C. elegans embryologists (ASSET: A Robust Algorithm for the Automated Segmentation and Standardi...

show abstract

Surgical treatment of pulmonary hydatid cysts in pediatric patients

Cited by 7 publications

References 9 publications

Hydatid Cyst of Lung and Surgical Therapy

Hydatid Cyst of Lung and Surgical Therapy

Çocuklarda idrar örneklerinden saptanan toplum kaynaklı gram negatif mikroorganizmaların dağılımı ve 2003-2010 yılları arasında antibiyotik direncindeki artışın değerlendirilmesi

Highlights in DD

Contact Info

Product

Resources

About