Περίληψη:
Lung is the second most common site for hydatid disease after the liver,
The aim of this study is to present the clinical symptomatology,
diagnostic evaluation, and surgical techniques for the treatment of lung
hydatid disease, During the last 25 years, 42 patients with lung hydatid
cysts were treated surgically in our department. In four patients there
were cysts in the liver and in one case in the spleen. The cysts were
located in the right lung in 16 patients (38%), in the left lung in 23
patients (54.8%), and in both lungs in 3 patients (7.14%). Eighteen
patients (42.9%) presented with complications: suppuration in one
patient (2.4%), rupture to the branchial tree in 16 patients (38%),
and pneumothorax in one patient (2.4%). Diagnosis was established
preoperatively in all cases; chest radiography and computed tomography
were most helpful for diagnosis. Forty-six operations were performed in
42 patients; three patients with bilateral cysts underwent staged
thoracotomies, and one patient was reoperated for recurrent disease. All
eases were managed surgically, with several types of radical (34 cases)
or conservative (12 cases) procedures. Radical procedures were lobectomy
and rarely pneumonectomy, which were used more often during the first
half of the study period. Cystectomy with capitonnage, the mast commonly
performed conservative procedure, was mainly used during the second half
of the study period. Postoperative morbidity was 15.2% and the 30-day
mortality rate was 0%. In one case there was postoperative hemorrhage
that required reexploration. The median hospital stay for uncomplicated
cases was 12 days and for complicated cases 21 days. In conclusion,
pulmonary hydatidosis often presents with complications requiring
emergency surgery, A lung-conserving operation is the treatment of
choice for lung hydatid disease and offers a good surgical outcome with
a minimal recurrence rate.
Συγγραφείς:
Safioleas, M
Misiakos, EP
Dosios, T
Manti, C
Lambrou, P
and Skalkeas, G
