Parenchyma-saving surgical treatment of giant pulmonary hydatid cysts.
Thorac Cardiovasc Surg
; 57(3): 165-8, 2009 Apr.
Article
em En
| MEDLINE
| ID: mdl-19330755
ABSTRACT
OBJECTIVE:
The purpose of this study was to review 97 patients with giant pulmonary hydatid cysts and assess the clinical features and results of different operative techniques over a 27-year period. MATERIAL ANDMETHODS:
Between January 1981 and December 2007, 590 patients were operated on for pulmonary hydatidosis and 97 (17 %) of these patients had giant pulmonary hydatid cyst. We retrospectively reviewed the medical records of these 97 patients. The diameter of the hydatid cysts were measured using radiological methods and intraoperatively.RESULTS:
Seventy-eight patients were male (80 %) and 19 were female (20 %). The median age was 23.4 years (range 15-63 years). The most common symptoms were chest pain (54 %), cough (43 %) and dyspnea (41 %). Fourteen patients were asymptomatic (14 %). The diameters of the cyst ranged between 10 and 25 cm (mean 13.8 cm). The cysts were located in the right hemithorax in 52 (54 %) patients, in the left hemithorax in 44 (45 %) patients and bilaterally in one patient (1 %). Five patients had more than one cyst. The procedures consisted of cystotomy and capitonnage in 53 patients, enucleation and capitonnage in 27 patients and simple cystotomy or enucleation in 8 patients. Anatomical resection was performed in 9 patients. Prolonged air leakage of more than 7 days occurred in five patients; one patient underwent an operation and a Heimlich valve was placed in two patients. There was no postoperative mortality. Recurrence was not detected at follow-up after 6 months and 27 months.CONCLUSION:
The higher lung tissue elasticity and delayed symptoms due to localizations of the cyst are the reasons for the occurrence of giant hydatid cysts in the lung. A parenchyma-saving operation should be performed instead of anatomical resection because of the low complication rates and because most complications can be treated conservatively.
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Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Pulmonares
/
Equinococose Pulmonar
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article