Abstract
Purpose
Pulmonary hydatid cyst, a parasitic disease, is a health care problem in developing countries. In this study, we evaluated outcomes of patients with pulmonary hydatid disease who were treated in our department.
Methods
Patients admitted with a pulmonary hydatid cyst from 1981 to 2008 were enrolled in this study. Their demographic data, the sites and number of cysts, diagnostic methods, type of operation, outcomes, and recurrence rate were statistically analyzed.
Results
Among the 1024 patients, the mean ± SD age was 30.6 ± 16.1 years, and the male/female ratio was 1.09. The most common symptom was a cough (55.1%). Only 1% of the patients were asymptomatic. Altogether, 53.8% had right-side involvement, 40.0% had left-side involvement, and 6.2% had bilateral disease. The inferior lobe was the lobe most common involved. The cyst was intact in 539 (52.6%) patients; and the others were complicated or perforated. The most common surgical technique entailed removing the cyst membrane without resecting the pericyst and closing the airways (67.2%). The cyst was enucleated in 21.2%; and parenchymal resection was performed in 10.3%. The mortality rate was 0.2%, and morbidity occurred in 8.4% of patients. The most common complications were residual spaces with prolonged air leak and wound infection. The recurrence rate was 2.5%, with most of the recurrences (82.6%) managed by surgery.
Conclusion
The best treatment for pulmonary hydatid cyst disease is surgery, which is associated with low mortality and morbidity rates. The most common and acceptable treatment is extraction of the cyst membrane without manipulating the pericyst and closure of small airways. Pulmonary resection should be reserved for complicated forms of the disease.
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References
Harlaftis N, Aletras H, Symbas P. Hydatid disease of the lung. In: Sheilds T, Locicero J, Ponn R, Rusch V, editors. General thoracic surgery. 6th edn. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 1298–1308.
Farrokh S. Echinococcal cysts: etiology, diagnosis, complications, and medical and surgical treatment. In: Bakar RJ, Fislher JE, editors. Mastry of surgery. 4th edn. Philadelphia: Lippincott Williams & Wilkins; 2004. p. 1082–1099.
Tavakoli H, Sonaidi Jafari N, Izadi M, Parsa M. Epidemiological investigation of hydatidosis infections in Iran. Presented at the 18th European Congress of Clinical Microbiology and Infectious Diseases. Available at: http://www.blackwellpublishing.com/eccmid18/abstract.asp?id=70345.70345.
Shehatha J, Alizzi A, Alward M, Kontantino VI. Thoracic hydatid disease: a review of 763 cases. Heart Lung Circ 2008;17:502–504.
Turgut AT, Altinok T, Tocu S, Kosar U. Local complications of hydatid disease involving thoracic cavity: imaging findings. Eur J Radiol 2009;70:49–56.
Kavukcu S, Kilic D, Tokat AO, Kutlay H, Cangir AK, Enon S, et al. Parenchyma-preserving surgery in the management of pulmonary hydatid cysts. J Invest Surg 2006;19:61–68.
Wu MS, Zhang LW, Zhu H, Qian ZX. Surgical treatment for thoracic hydatidosis: review of 1230 cases. Chin Med J 2005;118:1665–1667.
Gonlugur U, Ozcelis S, Gonlugur TE, Aricis, Celiksoz A, Elagoz S, et al. The retrospective annual surgical incidence of cystic echinococcosis in Sivas, Turkey. Zoonoses Public Health 2009;56:209–214.
Ahmadi NA, Hamidi M. A retrospective analysis of human cystic echinococcosis in Hamedan Province, an endemic region of Iran. Ann Trop Med Prasitol 2008;102:603–609.
Kocer B, Gulbaha G, Han S, Durukan E, Dural K, Sakinci U. An analysis of clinical features of pulmonary giant hydatid cyst in adult population. Am J Surg 2009;197:177–181.
Fatimi SH, Naureen S, Moizuddin SS, Puri MM, Yousum MA, Javed MA, et al. Pulmonary hydatidosis: clinical profile and follow up from an endemic region. ANZ J Surg 2007;77:749–751.
Sayek I, Tirnaksiz MB, Doyan R. Cystic hydatid disease: current trends in diagnosis and management. Surg Today 2004;34:987–996.
WHO Informal Working Group in Echinococcosis. Guidelines for treatment of cystic and alveolar echinococcosis in humans. Bull WHO 1996;74:231–242.
Keshmiri M, Baharvahdat H, Fattahi SH, Davachi B, Dabiri RH, Baradaran H. Placebo controlled study of albendazole in the treatment of pulmonary echinococcosis. Eur Res J 1999;14:503–507.
Shipulin PP, Baĭdan VI, Chetverikov SG, Martyniuk VA, Baĭdan VV, Koziar ON. Surgical treatment of pulmonary echinococcosis. Klin Khir 2008;7:40–42.
Sersar SI, Elnahas HA, Saleh AB, Moussa SA, Ghafar WA. Pulmonary parasitosis: applied clinical and therapeutic issues. Heart Lung Circ 2006;15:24–29.
Qian Z. Thoracic hydatid cyst a report of 842 cases treated over a thirty-year period. Ann Thorac Surg 1988;46:342–346.
Arinc S, Alpay L, Okur E, Köksal C, Sogukpinar O, Kosif A, et al. Recurrent pulmonary hydatid diseases. Surg Today 2008;38:983–986.
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Bagheri, R., Haghi, S.Z., Amini, M. et al. Pulmonary hydatid cyst: analysis of 1024 cases. Gen Thorac Cardiovasc Surg 59, 105–109 (2011). https://doi.org/10.1007/s11748-010-0690-z
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DOI: https://doi.org/10.1007/s11748-010-0690-z