Abstract:
Introduction: Hydatid cyst disease is characterized by the occurrence of cysts as a result of the transmission of Tenia echinococcus larvae to humans. The most frequent location is
the liver (60-70%). The larvae which fail to attach to the liver
pass through the lungs (20-25%), and can be located in all organs and tissues connected to the systemic circulation (10%).
They create hydatid cysts in the organs in which they are located. In our multi-center study, we aimed to present different types of surgical treatment, its results, and the associated
complications on the basis of a wide series of cases.
Material and methods: 599 patients who received surgical
treatment were included in our study. The patients’ data from
archive records were examined retrospectively. Patients with
unusual locations of the cysts (without liver or lung involvement) were excluded from the study.
Results: 381 of the patients were women and 218 were men.
It was established that the disease was more frequent among
women than among men, which was in accordance with the literature [9]. The ratio of women to men was 1.747. The average
age was 35.6; the youngest patient was 3, while the oldest was
83. When the patients were evaluated with regard to organ
involvement, liver cysts were found in 425 patients, while lung
cysts occurred in 236 patients. Both liver and lung involvement
was revealed in 62 patients.
Conclusions: In the case of lung cysts, surgical treatment is
preferred to medical treatment if there are no serious contraindications for operation. Even if only single cysts are found
in the liver, lungs, or both of these organs, the stomach and
the thoracic space must also undergo radiological screening One of the main concerns during surgical treatment, in the case
of both lung and liver cysts, is protecting the organ parenchyma
and removing the cyst without damaging organ function.
