Pulmoner Hydatid Cyst Surgical Treatment, Single Center Experience

Year 2023, , 285 - 289, 30.06.2023

Aykut Elicora , Hüseyin Fatih Sezer

https://doi.org/10.53446/actamednicomedia.1286617

Abstract

Objective: Lung hydatid cyst is an infectious disease caused by the parasite Echinococcus granulosus. Surgery is the main treatment of the disease in lung hydatid cysts. In our article, we aimed to share our experiences with our patients who underwent surgical treatment for hydatid cysts of the lungs.
Methods: The data of 41 patients who underwent surgical treatment for pulmonary hydatid cysts in our clinic were analyzed retrospectively. The factors affecting the success of surgical treatment were analyzed.
Results: Eighteen (43.9%) of the patients were male and 23 (56.1%) were female. There was no statistically significant difference between the size groups in terms of length of hospital stay (p=0.070). No statistically significant correlation was found between the number of lesions and postoperative complications (p=0.367).
Conclusion: Lung hydatid cysts are a public health problem that can be seen in all age groups. Although different symptoms and complications related to the disease are encountered in lung hydatid cysts, surgery is an effective treatment method with low recurrence, morbidity and mortality.

Keywords

Echinococcus granulosus, Lung hydatid cyst, Surgical treatment

Akciğer Hidatik Kisti Cerrahi Tedavisi, Tek Merkez Deneyimi

Abstract

Amaç: Akciğer hidatik kisti Echinococcus granulosus cinsi parazit tarafından oluşturulan bir enfeksiyon hastalığıdır. Akciğer hidatik kistlerinde hastalığın esas tedavisini cerrahi oluşturmaktadır. Makalemizde akciğer hidatik kisti nedeni ile cerrahi tedavi uyguladığımız hastalarımızla ilgili deneyimlerimizi paylaşmayı amaçladık.
Yöntem: Kliniğimizde akciğer hidatik kisti nedeni ile cerrahi tedavi uyguladığımız 41 hastanın verileri retrospektif olarak incelendi. Cerrahi tedavi başarısını etkileyen faktörler analiz edildi.
Bulgular: Hastaların 18'i (%43,9) erkek, 23'ü (%56,1) kadındı. Hastanede kalış süresi açısından lezyon boyut grupları arasında istatistiksel olarak anlamlı fark saptanmadı (p=0,070). Lezyon sayısı ile postoperatif komplikasyonlar arasında istatistiksel olarak anlamlı bir ilişki bulunmadı (p=0,367).
Sonuç: Akciğer hidatik kisti her yaş grubunda görülebilen bir halk sağlığı sorunudur. Akciğer hidatik kistlerinde hastalığa bağlı farklı semptom ve komplikasyonlarla karşılaşılsa da cerrahi, düşük nüks, morbidite ve mortalite ile etkili bir tedavi yöntemidir.

Keywords

Echinococcus granulosus, Lung hydatid cyst, Surgical treatment

References

• 1. Erol M, Yiğit Ö, Toksöz M, et al. Evaluation of cases with hydatid cyst who presented with pulmonary symptoms. Med Bull Haseki. 2015;53(2):147-152. doi:10.4274/haseki.2110
• 2. Kayhan S, Akgunes A. Histopathologically diagnosed pulmonary complicated hydatid cyst cases. Turk J Parasitol. 2011;35(4):189-193. doi:10.5152/tpd.2011.49
• 3. Sivrikoz MC, Boztepe H, Doner E, et al. Hydatid cyst of lung and surgical therapy. Solunum. 2011;13(3):166-169. doi:10.5505/solunum.2011.25349
• 4. Kabiri EH, Kabiri M. Clinical features and treatment of bronchial rupture of pulmonary hydatid cyst in children: a retrospective study of 36 patients. Gen Thorac Cardiovasc Surg. 2021;69(12):1539-1544. doi:10.1007/s11748-021-01670-w
• 5. Durceylan E, İliklerden Mergan D. Lung hydatid cyst surgical treatment: our clinical experience. Van Med. J. 2020;27(2):144-149. doi:10.5505/vtd.2020.87699
• 6. Kuzucu A, Ulutas H, Celik MR, Yekeler E. Hydatid cysts of the lung: lesion size in relation to clinical presentation and therapeutic approach. Surg Today. 2014;44(1):131-136. doi:10.1007/s00595-012-0484-2
• 7. Cobanoglu U, Aşker S, Mergan D, et al. Diagnostic dilemma in hydatid cysts: tumor-mimicking hydatid cysts. Turk Thorac Journal. 2015;16(4):180-184. doi:10.5152/ttd.2015.4606
• 8. Kabiri el-H, Caidi M, al Aziz S, el Maslout A, Benosman A. Surgical treatment of hydatidothorax. Series of 79 cases. Acta Chir Belg. 2003;103(4):401-404. doi:10.1080/00015458.2003.11679452
• 9. Kabiri el H, Traibi A, El Hammoumi M, El Oueriachi F, Arsalane A. Parenchyma sparing procedures is possible for most pulmonary hydatid disease without recurrence and low complications. Med Arch. 2012;66(5):332-335. doi:10.5455/medarh.2012.66.332-335
• 10. Usluer O, Ceylan KC, Kaya S, Sevinc S, Gursoy S. Surgical management of pulmonary hydatid cysts: is size an important prognostic indicator? Tex Heart Inst J. 2010;37(4):429-434.
• 11. Çetinkaya PD, Dınız Z, Gezer S. A Case report of giant lung and liver hydatic cyst. Ankara Med J. 2017;17(1):89-92. doi:10.17098/amj.80836
• 12. Onal O, Demir OF. Is anatomic lung resection necessary in surgical treatment of giant lung hydatid cysts in childhood? Ann Thorac Cardiovasc Surg. 2017;23(6):286-290. doi:10.5761/atcs.oa.17-00023
• 13. Kavukcu S, Kilic D, Tokat AO, et al. Parenchyma-preserving surgery in the management of pulmonary hydatid cysts. J Invest Surg. 2006;19(1):61-68. doi:10.1080/08941930500444586