Research Article

Retrospective evaluation of postsurgical outcomes of patients operated with the diagnosis of pulmonary hydatid cyst

Volume: 42 Number: 2 July 21, 2020
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Retrospective evaluation of postsurgical outcomes of patients operated with the diagnosis of pulmonary hydatid cyst

Abstract

Objective: Hydatid cysts may occur in almost every organ and tissue of human the body. Because they can be found in more than one organ/tissue, sometimes many operations may need for them and surgical intervention may be required due to complications that may develop secondary to hydatid cyst surgery albeit few. 
Method: Data on patient files retrieved from the hospital information management system or archive were analyzed retrospectively. Surgical results of patients operated with the diagnosis of hydatid cyst between 2008 and 2018 in our clinic were discussed retrospectively. 
Results: Ninety-three operations were performed in 84 patients due to pulmonary hydatid cysts. Fourty-four of them were male (52.4%), 40 were female and their mean age was 44 (5-85) years. Twenty-two (26.2%) patients were asymptomatic and 62 (73.8%) were symptomatic. Hydatid cysts were located in right hemithorax in 45 (53.6%) patients, in left hemithorax in 30 (35.7%) patients and bilaterally in 9 (10.7%) patients. Twenty-six patients (31%) had both pulmonary and hepatic hydatid cysts. Posterolateral thoracotomy and cystotomy-capitonnage were the most common methods (89.3%), 9 patients (10.7%) underwent wedge resection. Four patients developed atelectasis, 2 patients had hydropneumothorax, 4 patients had isolated prolonged air leak, 1 patient developed massive pulmonary embolism, and 1 patient developed Aspergillus infection the quilted cavity. 
Conclusions: Hydatid cyst disease has still been a serious health concern in Turkey. When the careful and experienced surgeons perform the operations, the postoperative period is usually uneventful and morbidity is extremely low.

Keywords

References

  1. 1. Yalçınkaya İ. Önsöz. In: Yalçınkaya İ. (ed.), Akciğer Hidatik Kisti. Ankara, Türkiye Solunum Araştırmaları Derneği, 2016:9-10.
  2. 2. Üçvet A, Gürsoy S. Cerrahi yaklaşım. In: Yalçınkaya İ. (ed.), Akciğer Hidatik Kisti. Ankara, Türkiye Solunum Araştırmaları Derneği, 2016:51-67.
  3. 3. Hasdiraz L, Oğuzkaya F, Bilgin M. Is lobectomy necessary in the treatment of pulmonary hydatid cysts? ANZ J Surg. 2006 Jun;76(6):488-90.
  4. 4. Ozyurtkan MO, Balci AE. Surgical treatment of intrathoracic hydatid disease: a 5-year experience in an endemic region. Surg Today. 2010;40(1):31-7.
  5. 5. McManus DP, Zhang W, Li J, Bartley PB. Echinococcosis. The Lancet. 2003; 362:1295-304.
  6. 6. Eckert J, Deplazes P. Biological, Epidemiological, and Clinical Aspects of Echinococcosis, a Zoonosis of Increasing Concern. Clinical Microbiology Reviews 2004; 17:107-35. 7. Altintas N. Past to present: Echinococcosis in Turkey. Acta Tropica 2003; 85:105-12.
  7. 8. Dogusoy I. Management of hydatid cysts. In: Franco KL,Putnam J, editors. Advanced therapy of thoracic surgery. 2nd ed. New York: BC Decker Inc; 2005. p. 241-50.
  8. 9. Işıtmangil T, Görür R, Yiyit N, et al. Evaluation of 308 patients surgically treated for thoracic hydatidosis. Türk Göğüs Kalp Damar Cer Derg 2010;18(1):27-33.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Publication Date

July 21, 2020

Submission Date

May 22, 2020

Acceptance Date

July 14, 2020

Published in Issue

Year 2020 Volume: 42 Number: 2

AMA
1.Özsoy İE, Tezcan MA, Gürler F, Oral A. Retrospective evaluation of postsurgical outcomes of patients operated with the diagnosis of pulmonary hydatid cyst. CMJ. 2020;42(2):230-235. doi:10.7197/cmj.vi.741580

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