Klinik Araştırma
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Surgical treatment of hydatithorax: A retrospective study of 24 patients

Yıl 2022, Cilt: 5 Sayı: 2, 267 - 273, 31.08.2022

Hıdır Esme

https://doi.org/10.36516/jocass.1111174

Öz

Aim: Intrapleural perforation of a hydatid cyst can lead to serious complications such as pleural effusion, pneumothorax, empyema, secondary pleural hydatid disease, acute respiratory failure, and anaphylactic shock. Our aim in this study is to present the clinical features of the patients we operated for hydatid cyst perforated into the pleural space and to share our surgical experience.
Material and Method: Between January 2010 and December 2020, 24 patients who applied to our clinic and were operated on due to perforation of the pulmonary hydatid cyst into the pleural space were retrospectively analyzed. Age, gender, symptoms, size and location of the hydatid cyst, surgical procedure, postoperative complications, chest tube length of stay and hospitalization duration were reviewed and noted in the patient files.
Results: The mean age of the patients was 36.4 (18-67) years. Of the patients, 14 (58%) were male and 10 (41%) were female. There was 7.4 (0-19) days between the onset of symptoms and admission to the hospital. While 19 (79%) patients had pleural effusion, 5 (20%) had hydropneumothorax. Cystotomy and capitonnage were performed in 23 (95%) patients, segmentectomy in 1 (4.1%) and decortication in 10 (41%) patients. Postoperative complications were seen in 4 (16%) patients.
Conclusion: Perforated hydatid cyst should not be forgotten in the differential diagnosis of pleural effusion, pneumothorax and empyema. Preoperative medical treatment should be performed in patients with pneumonia due to perforated hydatid cyst, and in patients with massive pleural effusion, significant pneumothorax or empyema, after adequate chest tube drainage, the operation should be performed without delay.

Anahtar Kelimeler

Hydatithorax surgery Hydatid cyst

Kaynakça

  • 1. Thameur H, Chenik S, Abdelmoulah S, Bey M, et al. Thoracic hydatidosis: Areview of 1619 cases. Rev Pneumol Clin, 2000; 56: 7-15.
  • 2. Aarons BJ. Thoracic surgery of hydatid disease. World J Surg, 1999; 23: 1105-9.
  • 3. Balci AE, Eren N, Eren S, Ulku R. Ruptured hydatid cysts of the lung in children: clinical review and results of surgery. Ann Thorac Surg. 2002; 74: 889-92.
  • 4. Fındık G, Aydogdu K, Hazer S, et al. The management of postoperative complications in childhood pulmonary hydatid cysts. Turk J Thorac Cardiovasc Surg. 2012; 20(4): 850-6.
  • 5. Kilani T, Ben Safta Z, Jamoussi M, et al. Pleural complications of hydatid cyst of the lung. Apropos of 16 cases. Ann Chir, 1988; 42: 145-8.
  • 6. Islambekov E, Tishchukov AA, Ismailov DA. Treatment of rupture of pulmonary echinococcosis to the pleural cavity. Grud Serdechnososudistia Khir, 1990; 3: 34-7. 7. Solak H, Ceran S, Ozpinar C, et al. Lung hydatid cyst rupture and its surgery. Indian J Med Sci, 1994; 48: 155-7.
  • 8. Sayır F, Cobanoglu U, Sehitogulları A. Surgical treatment of pulmonary hydatid cysts, which perforated to pleura. Eurasian J Med. 2012; 44(2):79-83.
  • 9. Kiral H, Evman S, Tezel C, et al. Pulmonary resection in the treatment of life-threatening hemoptysis. Ann Thorac Cardiovasc Surg. 2015; 21(2): 125-131.
  • 10. Demirhan R, Onan B, Kıral H, Yalcınkaya I. Surgical treatment of giant hydatid cysts in childhood. Turk J Thorac Cardiovasc Surg. 2010; 18(2): 121-125.
  • 11. Ramos G, Duque JL, Yustem M, et al. Intrapleural rupture of the pulmonary hytatid cyst: A propos de 15 observation. Ann Chir, 1983; 37: 114-6.
  • 12. Ozer Z, Cetin M, Kahraman C. Pleural involvement by hydatid cysts of the lung. Thorac Cardiovasc Surg, 1985; 33: 103-5.
  • 13. Aydogdu B, Sander S, Demirali O, et al. Treatment of spontaneous rupture of lung hydatid cysts into a bronchus in children. J Pediatr Surg. 2015; 50: 1481-3.
  • 14. Simon D, Koegelenberg CFN, Sinha Roy S, Allwood BW, Irusen EM. Can large hydatid cysts resolve with medical treatment alone? Respiration. 2016; 92: 428-31.
  • 15. Keshmiri M, Baharvahdat H, Fattahi SH, et al. A placebo controlled study of albendazole in the treatment of pulmonary echinococcosis. Eur Respir J. 1999; 14(3): 503-7.
  • 16. Usluer O, Kaya SO, Samancilar O, Ceylan KC, Gursoy S. The effect of preoperative albendazole treatment on the cuticular membranes of the pulmonary hydatid cysts. Should it be administered preoperatively? Kardiochirurgia Torakochirurgia Pol. 2014; 11(1): 26-29.
  • 17. Oto O, Silistreli E, Erturk M, Maltepe F. Thoracoscopic guided minimally invasive surgery for giant hydatic cyst. Eur J Cardiothorac Surg, 1999; 16 : 494-5.
  • 18. Aggrarwal P, Wali J. P. Albendazole in the treatment of pulmonary echinococcosis. Thorax, 1991; 46: 599-600.
  • 19. Cernay J, Bensenouci A, Boukhelal H, Zaouchea A, Grangaud JP. The rupture of the pleura: a serious complication of hydatid cyst of the lung in children. Rev Fr Mal Resp, 1979; 7: 45-7.
  • 20. Hasdıraz L, Onal O, Oguzkaya F. Bilateral staged thoracotomy for multiple lung hydatidosis. J Cardiothorac Surg 2013; 8: 121.
  • 21. Topçu S, Kurul IC, Tastepe I, et al. Surgical treatment of pulmonary hydatid cysts in children. J Thorac Cardiovasc Surg 2000; 120: 1097–101.
  • 22. Cangir AK, Sahin E, Enön S, et al. Surgical treatment of pulmonary hydatid cysts in children. J Pediatr Surg 2001; 36: 917–20.
  • 23. Kabiri el-H, Caidi M, Al Aziz S, El Maslout A, Benosman A. Surgical Treatment of Hydatidothorax Series of 79 Cases. Acta chir belg, 2003; 103: 401-404.

Hidatitoraksın Cerrahi Tedavisi: 24 Hastayı Kapsayan Retrospektif Bir Çalışma

Yıl 2022, Cilt: 5 Sayı: 2, 267 - 273, 31.08.2022

Hıdır Esme

https://doi.org/10.36516/jocass.1111174

Öz

Giriş: Hidatik kistin plevral aralığa perforasyonu plevral efüzyon, pnömotoraks, ampiyem, sekonder plevral hidatik hastalık, akut solunum yetmezliği ve anaflaktik şok gibi ciddi komplikasyonlara yol açabilir. Bu çalışmadaki amacımız plevral aralığa perfore olan hidatik kist nedeniyle opere ettiğimiz hastaların klinik özelliklerini sunmak ve cerrahi deneyimlerimizi paylaşmaktır.
Materyal ve Metod: 2010 ocak- 2020 aralık tarihleri arasında akciğer hidatik kistinin plevral aralığa perfore olması sonucu kliniğimize başvuran ve opere edilen 24 hasta geriye dönük olarak incelendi. Hastaların yaş, cinsiyet, semptom, hidatik kistin büyüklüğü ve yeri, uygulanan cerrahi işlem, postoperatif komplikasyonlar, göğüs tüpü kalış süresi ve hastane yatış süresi hasta dosyaları incelenerek not edildi.
Bulgular: Hastaların ortalama yaşları 36,4 (18-67) idi. Hastaların 14’u (%58) erkek, 10’u (%41) ise bayan idi. Semptomların başlaması ile hastaneye başvuru arasında 7,4 (0-19) gün vardı. Hastaların 19’unda (%79) plevral efüzyon var iken, 5’inde (%20) hidropnömotoraks var idi. Hastaların 23’ünde (%95) kistotomi ve kapitonaj, 1’inde (%4,1) segmentektomi, 10’unde (%41) ampiyem nedeniyle dekortikasyon uygulandı. Postoperatif komplikasyon 4 (%16) hastada görüldü.
Sonuç: Plevral efüzyon, pnömotoraks ve ampiyemin ayırıcı tanısında perfore hidatik kist unutulmamalıdır. Perfore hidatik kiste bağlı pnömoni olan hastalarda preoperatif medikal tedavi, masif plevral efüzyon, belirgin pnömotoraks veya ampiyem olan hastalarda ise yeterli göğüs tüpü drenajı sonrası operasyon geciktirilmeden yapılmalıdır.

Anahtar Kelimeler

Hidatitoraks Cerrahi Hidatik kist

Kaynakça

  • 1. Thameur H, Chenik S, Abdelmoulah S, Bey M, et al. Thoracic hydatidosis: Areview of 1619 cases. Rev Pneumol Clin, 2000; 56: 7-15.
  • 2. Aarons BJ. Thoracic surgery of hydatid disease. World J Surg, 1999; 23: 1105-9.
  • 3. Balci AE, Eren N, Eren S, Ulku R. Ruptured hydatid cysts of the lung in children: clinical review and results of surgery. Ann Thorac Surg. 2002; 74: 889-92.
  • 4. Fındık G, Aydogdu K, Hazer S, et al. The management of postoperative complications in childhood pulmonary hydatid cysts. Turk J Thorac Cardiovasc Surg. 2012; 20(4): 850-6.
  • 5. Kilani T, Ben Safta Z, Jamoussi M, et al. Pleural complications of hydatid cyst of the lung. Apropos of 16 cases. Ann Chir, 1988; 42: 145-8.
  • 6. Islambekov E, Tishchukov AA, Ismailov DA. Treatment of rupture of pulmonary echinococcosis to the pleural cavity. Grud Serdechnososudistia Khir, 1990; 3: 34-7. 7. Solak H, Ceran S, Ozpinar C, et al. Lung hydatid cyst rupture and its surgery. Indian J Med Sci, 1994; 48: 155-7.
  • 8. Sayır F, Cobanoglu U, Sehitogulları A. Surgical treatment of pulmonary hydatid cysts, which perforated to pleura. Eurasian J Med. 2012; 44(2):79-83.
  • 9. Kiral H, Evman S, Tezel C, et al. Pulmonary resection in the treatment of life-threatening hemoptysis. Ann Thorac Cardiovasc Surg. 2015; 21(2): 125-131.
  • 10. Demirhan R, Onan B, Kıral H, Yalcınkaya I. Surgical treatment of giant hydatid cysts in childhood. Turk J Thorac Cardiovasc Surg. 2010; 18(2): 121-125.
  • 11. Ramos G, Duque JL, Yustem M, et al. Intrapleural rupture of the pulmonary hytatid cyst: A propos de 15 observation. Ann Chir, 1983; 37: 114-6.
  • 12. Ozer Z, Cetin M, Kahraman C. Pleural involvement by hydatid cysts of the lung. Thorac Cardiovasc Surg, 1985; 33: 103-5.
  • 13. Aydogdu B, Sander S, Demirali O, et al. Treatment of spontaneous rupture of lung hydatid cysts into a bronchus in children. J Pediatr Surg. 2015; 50: 1481-3.
  • 14. Simon D, Koegelenberg CFN, Sinha Roy S, Allwood BW, Irusen EM. Can large hydatid cysts resolve with medical treatment alone? Respiration. 2016; 92: 428-31.
  • 15. Keshmiri M, Baharvahdat H, Fattahi SH, et al. A placebo controlled study of albendazole in the treatment of pulmonary echinococcosis. Eur Respir J. 1999; 14(3): 503-7.
  • 16. Usluer O, Kaya SO, Samancilar O, Ceylan KC, Gursoy S. The effect of preoperative albendazole treatment on the cuticular membranes of the pulmonary hydatid cysts. Should it be administered preoperatively? Kardiochirurgia Torakochirurgia Pol. 2014; 11(1): 26-29.
  • 17. Oto O, Silistreli E, Erturk M, Maltepe F. Thoracoscopic guided minimally invasive surgery for giant hydatic cyst. Eur J Cardiothorac Surg, 1999; 16 : 494-5.
  • 18. Aggrarwal P, Wali J. P. Albendazole in the treatment of pulmonary echinococcosis. Thorax, 1991; 46: 599-600.
  • 19. Cernay J, Bensenouci A, Boukhelal H, Zaouchea A, Grangaud JP. The rupture of the pleura: a serious complication of hydatid cyst of the lung in children. Rev Fr Mal Resp, 1979; 7: 45-7.
  • 20. Hasdıraz L, Onal O, Oguzkaya F. Bilateral staged thoracotomy for multiple lung hydatidosis. J Cardiothorac Surg 2013; 8: 121.
  • 21. Topçu S, Kurul IC, Tastepe I, et al. Surgical treatment of pulmonary hydatid cysts in children. J Thorac Cardiovasc Surg 2000; 120: 1097–101.
  • 22. Cangir AK, Sahin E, Enön S, et al. Surgical treatment of pulmonary hydatid cysts in children. J Pediatr Surg 2001; 36: 917–20.
  • 23. Kabiri el-H, Caidi M, Al Aziz S, El Maslout A, Benosman A. Surgical Treatment of Hydatidothorax Series of 79 Cases. Acta chir belg, 2003; 103: 401-404.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Cerrahi
Bölüm Makaleler
Yazarlar

Hıdır Esme 0000-0002-0184-5377

Erken Görünüm Tarihi 18 Ağustos 2022
Yayımlanma Tarihi 31 Ağustos 2022
Kabul Tarihi 24 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 5 Sayı: 2

Kaynak Göster

APA Esme, H. (2022). Hidatitoraksın Cerrahi Tedavisi: 24 Hastayı Kapsayan Retrospektif Bir Çalışma. Journal of Cukurova Anesthesia and Surgical Sciences, 5(2), 267-273. https://doi.org/10.36516/jocass.1111174
 Kapak Resmi İndir
https://dergipark.org.tr/tr/download/journal-file/11303