EVALUATION OF 236 PATIENTS WITH PULMONARY CYST HYDATID TREATED WITH PARENCHYMAL PROTECTIVE SURGICAL TREATMENT

Abstract

Introduction: Hydatid cyst is a parasitic disease 99% of which is generated by echinococcus granulosus. The disease usually affects the liver and lungs. In rare cases, other organs are involved. However, hydatid cyst, may settle in more than one organ, in more than one focus in the same organ or even on both sides in the lung in patients. Therefore, surgical methods which will protect the organ it is settled and the parenchyma for the lung as much as possible should be used. Material and method: Two hundred and thirty six patients operated in Şanlıurfa Balıklı Göl State Hospital and Harran University Faculty of Medicine Clinic of Thoracic Surgery between 2007 and 2012 were included in our study. Of all the patients, 99 were male and 137 were female. The average age was 26.58 and the eldest patient was 76 and the youngest was 3. Results: There were a total of 298 cysts in 236 patients. The most common location of cysts was detected to be the right lower lobe surgical approach applied to 236 patients was determined by the location of the cyst. Of all the 298 cysts, cystotomy-capitonnage was performed in 258 (86.5%). Only one patient had lobectomy due to massive hemoptysis. Peripherally located small-size cysts were applied wedge resection with steap. Segmentectomy was performed only in 3 patients. After the surgical procedure, a total of 7 recurrence occurred, 3 of which were in the lung and 4 were in the liver. Conclusion: Based on the results of our study, we basically have two claims. The first is that resection should not be considered and parenchymal protective surgery should be applied even by considering cyst size and when there are multiple cysts in the same lobe. Our second claim is that approach to especially peripheral, small and a large number of cyst hydatids should be performed in the form of wedge resection with the help of steap due to the fact that it severely reduces complications such as especially empyema, pneumonia and prolonged air leak.