One-stage Transthoracic Operation for the Treatment of Right Lung and Liver Hydatid Cysts |
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Authors: | Abdullah Erdogan MD Arife Ayten MD Hanife Kabukcu MD Abid Demircan MD |
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Affiliation: | (1) Department of Cardiothoracic Surgery, Akdeniz University Faculty of Medicine, GKDC Anabilim Dali, Antalya, 07058, Turkey;(2) Department of Anesthesiology, Akdeniz University Faculty of Medicine, GKDC Anabilim Dali, Antalya, 07058, Turkey |
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Abstract: | In this study we reviewed our experience of hydatid disease of the lung and the liver and discussed the safety and the follow-up
results of the one-stage operation. Between 1990 and 2004, 142 patients with pulmonary hydatid disease underwent operation
in our clinic. Of these, 27 (19%) patients had cysts located on the dome of the liver, treated with phrenotomy through a right
thoracotomy. Hydatid cysts located in the lungs were managed by means of cystotomy. For liver cysts, cystotomy and the inversion
of the cavity with sutures was the surgical method of choice, and a drain was left in place. The pulmonary cysts of 12 (8.4%)
patients were bilateral and 5 (3.5%) patients had prior surgical treatment of hepatic (n = 1) or pulmonary (n = 4) hydatid cysts. The liver cysts were approached transdiaphragmatically after the lung cysts were excised in 27 (19%)
patients. In patients with pulmonary cysts, cystotomy, with or without capitonnage was performed on 123 (86.6%) patients,
and wedge resection was performed on 11 (7.7%), segmentectomy was performed on 6 patients (4.2%), and lobectomy was performed
on 2 (1.4%) patients. There was no mortality, and only a small number of complications were encountered: empyema in 3, excessive
biliary drainage in 2, and bronchopleural fistula in only 1. We suggest that the extraction of pulmonary and hepatic cysts
simultaneously through the transthoracic route is a useful and safe surgical technique. This technique also prevents the need
for a second operation. |
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