Lung Hydatid Cyst Surgical Treatment: Our Clinical Experience

Abstract

INTRODUCTION: In this study, the data of 29 patients who undervent surgery for pulmonary hydatid cyst in Van Regional Training and Research Hospital were analyzed retrospectively METHODS: Patients who underwent surgery with the diagnosis of hydatid cyst in Van Regional Training and Research Hospital between May 2015 and October 2017 were evaluated in terms of age, sex, localization and size of the cyst, symptoms at admission, type of surgery and postoperative hospital stay. RESULTS: Twenty patients (69%) were male and 9 (31%) were female. The mean age was found to be 21.5 (8-58).The most common symptom was cough (58.6%) and chest pain (51.7%). Hydatid cyst was localized in right (55.2%) in 16 patients and in left hemithorax (48.8%) in 13 patients. 22 patients (75,9%) were operated by cystotomy and capitonage; 3 patients (10,3%) were operated by enucleation and capitonage. Cystotomy without capitonage was used in 4 patients (13,8%). DISCUSSION AND CONCLUSION: The treatment of pulmonary hydatid cyst is surgical unless it is contraindicated. The basic principles of surgery should be the removal of the cyst content, the closing of the bronchial openings and the management of the remaining potential cavity. The use of postoperative albendazole is effective in preventing recurrences.

Keywords

• echinococcus granulosus
• cystotomy – capitonnage
• pulmonary hydatid cyst