Pulmonary metastasectomy with laparotomy in alveolar echinococcosis

Yener Aydın

doi:10.5606/tgkdc.dergisi.2019.18212

Yener Aydın¹, Ali Bilal Ulaş¹, Ömer Topdağı², Ebru Şener³, Gürkan Öztürk⁴, Atilla Eroğlu¹

¹Department of Thoracic Surgery, Atatürk University, Faculty of Medicine, Erzurum, Turkey
²Department of Internal Medicine, Atatürk University, Faculty of Medicine, Erzurum, Turkey
³Department of Pathology, Atatürk University, Faculty of Medicine, Erzurum, Turkey
⁴Department of General Surgery, Atatürk University, Faculty of Medicine, Erzurum, Turkey

DOI : 10.5606/tgkdc.dergisi.2019.18212

Pulmonary alveolar echinococcosis is a tumor-like parasitic disease that occurs typically after hepatic involvement. In this article, we present a case of metastatic pulmonary alveolar echinococcosis that underwent laparotomy for hepatic involvement, in which we performed pulmonary metastasectomy with transdiaphragmatic intervention. Thoracic computed tomography revealed a metastatic nodule of approximately 1 cm in the superior segment of the right lung lower lobe. Approximately 7¥3 cm diaphragmatic resection was performed due to diaphragmatic invasion. Pulmonary wedge resection for lung metastasis was performed intraabdominally from diaphragmatic defect. We believe that this technique can be applied safely in carefully selected patients with pulmonary involvement.

Keywords : Laparotomy, lung, metastasis

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