Therapeutic evaluation of video-assisted thoracoscopic surgery versus open thoracotomy for pediatric pulmonary hydatid disease

Ma, Jun; Wang, Xiaolei; Mamatimin, Xaokat; Ahan, Nuerlan; Chen, Kang; Peng, Chuanliang; Yang, Yanling

doi:10.1186/s13019-016-0525-9

Cited by 20 publications

(18 citation statements)

References 11 publications

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“…More recently, video-assisted thoracoscopic surgery seems to be a good alternative therapeutic method to thoracotomy for pulmonary hydatid disease treatment in children, for selected small patients. 86 Finally, in our experience, perioperative use of albendazole improves the surgical effects of the above techniques, prevents recurrence, and decreases the possibility of serious allergic reactions from hydatid dissemination.…”

Section: Discussionmentioning

confidence: 81%

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Echinococcus Granulosus in Childhood: A Retrospective Study of 187 Cases and Newer Data

Πετρόπουλος

Chatzoulis

2019

Clin Pediatr (Phila)

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Echinococcus granulosus, first reported by Goeze in 1782, is the causative parasite of cystic echinococcosis (hydatidosis) especially for countries that are endemic areas. Since the 1970s, the incidence of echinococcosis in Greece has been very high. Nevertheless, with the implementation of special prevention measures in the 1980s, a large reduction in the incidence of hydatidosis meant that it reached European levels. Therefore, we analyzed the demographics, multiple organ localizations of the parasite, diagnosis, and conservative and optimal surgical treatment over a total period of 39 years, especially for pulmonary and hepatic echinococcosis in children. The higher incidence of pulmonary echinococcosis compared with other localizations, male predominance, wide range of age, and various cystic sizes were some of the main demographics. Because cystic echinococcosis remains a main public health problem, we advocate a meticulous clinical investigation and treatment methodology to bridge the gap between knowledge and awareness of this important disease.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Echinococcus Granulosus in Childhood: A Retrospective Study of 187 Cases and Newer Data

Πετρόπουλος

Chatzoulis

2019

Clin Pediatr (Phila)

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“…There have been several concerns with the use of MIS in management of hydatid disease. The main concern is of spillage of the cyst fluid Single lung ventilation has been used by most authors to secure the uninvolved lung [9,12]. The issue of aspiration of cyst contents is taken care by isolation of the affected side by use of bronchial blockage.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of minimal access surgery for hydatidosis in children: a single institutional experience

2019

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Background Human cystic echinococcosis continues to be a public health problem worldwide. The standard treatment of hydatidosis in children is open surgical intervention for removal of the cyst completely without spillage. The limited use of minimal invasive surgery (MIS) in hydatidosis has been due to the concern of inadequate removal and spillage, leading to recurrence or dissemination of the disease. Recently, a few authors have reported the successful use of minimal invasive surgery (MIS) for management of hydatid disease in children. We present our experience with successful use of MIS in the management of hydatid disease involving lung and liver in children. Methods Between 2006 and 2017, data of 22 children treated for hydatid disease in our institute were reviewed. The diagnosis was made radiologically with Computerised Tomography scan of chest and abdomen. All children received albendazole therapy prior to and after the surgery. Thoracoscopic/laparoscopic procedures were undertaken sequentially in all children. Children with synchronous disease involving lung and liver had an interval of 2 weeks between procedures. The techniques of puncture, aspiration, injection and re-aspiration (PAIR) and also our modifications of cyst removal are described. Results There were a total of 22 children with liver and or lung involvement. Four children had synchronous lung and liver involvement and four children had bilateral lung involvement. The duration of the procedure ranged from 60 to 90 min. There were 3 (18) conversions in the thoracic group and 1 (12) in the laparoscopic group. PAIR technique with our modification of cyst extraction was used in all except in one child. Capitonnage of the cyst wall in lung hydatidosis was not done. There were no postoperative events. Recurrence of the lesion at original site was seen in two children, one each in laparoscopic and thoracoscopic group. Occurrence of new lesion or dissemination of the disease was not identified on a mean follow-up of 7 years. Conclusion Our series demonstrates the safe and effective utility of MIS in management of pulmonary and liver hydatid in children. Use of MIS does not lead to dissemination of the disease. Albendazole therapy is an useful adjunct prior to surgery. Single lung ventilation with isolation of uninvolved lung is useful during surgery for lung hydatid.

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“… 23 To reduce surgery-related trauma, reducing the duration of the operation and the postoperative period using a bilateral one-stage sequential video-assisted thoracoscopic echinococcectomy from both lungs is effective. 24 , 25 The method of one-stage surgical treatment and 2-stage pulmonary echinococcosis via transmediastinal access to the eliminated right pulmonary echinococcosis and liver, through one skin incision with the use of video-assisted thoracoscopic techniques allows the reduction of trauma and the length of treatment, and patients are relieved to avoid the next-stage operations and repeated anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Single-center experience in the surgical treatment of combined lung Echinococcosis

Shirtaev

Mukhtar

Ruslan

et al. 2018

SMJ

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Objectives:To compare results of surgical treatment and complications of patients with unilateral or bilateral thoracic and combined pulmonary echinococcosis.Methods:This cross-sectional analysis of a prospective study was conducted in the Department of Thoracic and Pediatric Surgery, Scientific Center of Surgery, Almaty, Kazakhstan among 598 patients with pulmonary echinococcosis, who had surgical treatment with various surgical methods, depending on the prevalence of echinococcosis, as follows: right lung in 357 (59.5%) patients, left lung in 243 (40.5%) patients, bilateral in 95 (15.8%) patients, and complicated echinococcosis in 317 (52.8%) patients. Length of stay per hospital stay has been decreased (p<0.0001) by video-thoracoscopic echinococcectomy with the high-energy laser (HEL) treatment of cyst, than after echinococcectomy by cyst treatment with povidone-iodine. Treatment with formalin presented the most longest hospital stay (p<0.0001)Results:Comparative analysis of patients with uncomplicated and complicated pulmonary echinococcosis showed a high frequency of postoperative complications associated with complicated echinococcosis (OR = 2.2, p<0.0001).Conclusion:Despite the success of surgical treatment of pulmonary echinococcosis, issues of intraoperative dissemination and safety remain, and treatment success rates can be improved. These factors require further prospective multicenter studies.

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Therapeutic evaluation of video-assisted thoracoscopic surgery versus open thoracotomy for pediatric pulmonary hydatid disease

Cited by 20 publications

References 11 publications

Echinococcus Granulosus in Childhood: A Retrospective Study of 187 Cases and Newer Data

Echinococcus Granulosus in Childhood: A Retrospective Study of 187 Cases and Newer Data

Long-term outcome of minimal access surgery for hydatidosis in children: a single institutional experience

Single-center experience in the surgical treatment of combined lung Echinococcosis

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