RESULTS OF SURGICAL TREATMENT FOR LUNG HYDATID CYST WITH

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ABBASI AZIZ ELAH; JAVAHERZADEH M.; SHADMEHR M.B.; ARAB MEHRDAD; PEZHAN S.; DANESHVAR A.A.GH.; FARZANEGAN R.; JAHANSHAHI N.

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Journal: Iranian Journal of Surgery Year:2006 | Volume:14 | Issue:3 Page(s): 0-0

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Title

RESULTS OF SURGICAL TREATMENT FOR LUNG HYDATID CYST WITH "CYSTECTOMY AND REPAIR OF BRONCHIAL OPENINGS"

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Keywords

HYDATIC CYSTQ4

LUNGQ4

SURGICAL TREATMENTQ3

Abstract

Introduction & Objective: Different techniques are used for SURGICAL TREATMENT of LUNG hydatid cysts, including: "Cystectomy, repair of bronchial openings and leaving open pericyst cavity", "Cystectomy and capitonage", "Wedge resection", "Lobectomy" and even "Pneumonectomy". Regarding diversity of surgical techniques and different incidences of disease in different areas of the world, it is not yet clear which technique is better than others.We present our results of a single surgical technique in a remarkable number of patients.Materials & Methods: During an eight year period (August 1997 to July 2005) 125 patients with LUNG hydatid cysts underwent operation in our department (60 female, 65 males, and mean age of 33.12 years, ranging 7-80 years). The surgical technique was "Thoracotomy, opening of the cyst and removing its contents, repairing bronchial openings and leaving the pericyst cavity open in to the pleural cavity". Normal tissues around the cysts were protected with towels dunked in 0.5 percent silver nitrate solution before incising on the cyst, and then only after evacuation of cysts and closure of the bronchial openings, the cavity was irrigated by this scolicidal solution. Radical LUNG resections were undertaken only in situations that due to destruction of LUNG parenchyma it was inevitable. Wedge resections were used only for small and peripherally located cysts. The patients were followed and investigated post operatively for surgical complications especially prolonged air leak from chest tubes, pneumonia, pneumothorax and recurrence of the disease.Results: There were 181 cysts in 125 patients. Average number of cysts which were resected was 1.44/patient. One hundred and fifty six cysts (86.19%) were operated with above mentioned technique and in 25 cysts (13.81%) conservative or radical resections was done. One hundred and nine cysts were intact and 72 were ruptured. Location of cysts was: right LUNG in 65 patients, left LUNG in 50 patients and both LUNGs in 10 patients.Early postoperative complications were: Prolonged air leak (more than 7 days) in 9, pleural effusion in one and pulmonary emboli in one patient. These complications were successfully treated in all patients. Late complications included: one prolonged air fluid level at the site of cyst, 5 recurrences. One death occurred due to post-pneumonic empyema.Conclusions: "Cystectomy with closure of bronchial openings and leaving open the pericyst cavity" is a suitable surgical technique for treatment of LUNG hydatid cysts. This technique could be applied in most patients. Radical LUNG resections are indicated rarely.

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APA: Copy

ABBASI, AZIZ ELAH, JAVAHERZADEH, M., SHADMEHR, M.B., ARAB, MEHRDAD, PEZHAN, S., DANESHVAR, A.A.GH., FARZANEGAN, R., & JAHANSHAHI, N.. (2006). RESULTS OF SURGICAL TREATMENT FOR LUNG HYDATID CYST WITH "CYSTECTOMY AND REPAIR OF BRONCHIAL OPENINGS". IRANIAN JOURNAL OF SURGERY, 14(3), 0-0. SID. https://sid.ir/paper/392789/en

Vancouver: Copy

ABBASI AZIZ ELAH, JAVAHERZADEH M., SHADMEHR M.B., ARAB MEHRDAD, PEZHAN S., DANESHVAR A.A.GH., FARZANEGAN R., JAHANSHAHI N.. RESULTS OF SURGICAL TREATMENT FOR LUNG HYDATID CYST WITH "CYSTECTOMY AND REPAIR OF BRONCHIAL OPENINGS". IRANIAN JOURNAL OF SURGERY[Internet]. 2006;14(3):0-0. Available from: https://sid.ir/paper/392789/en

IEEE: Copy

AZIZ ELAH ABBASI, M. JAVAHERZADEH, M.B. SHADMEHR, MEHRDAD ARAB, S. PEZHAN, A.A.GH. DANESHVAR, R. FARZANEGAN, and N. JAHANSHAHI, “RESULTS OF SURGICAL TREATMENT FOR LUNG HYDATID CYST WITH "CYSTECTOMY AND REPAIR OF BRONCHIAL OPENINGS",” IRANIAN JOURNAL OF SURGERY, vol. 14, no. 3, pp. 0–0, 2006, [Online]. Available: https://sid.ir/paper/392789/en

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