PULMONARY HYDATID DISEASE AND SURGICAL THERAPY

Maruf ŞANLI, Bülent TUNÇÖZGÜR, Levent ELBEYLİ

Gaziantep Üniversitesi Tıp Fakültesi Göğüs Kalp Damar Cerrahisi Kliniği, GAZİANTEP

Background: We reviewed 60 hydatid cyst cases with results of operation whom most of them were operated by cystotomy and capitonnage technique.

Methods:
Sixty patients with hydatid cyst were operated in our clinic between January 1998 and February 2000. Diagnosis was made by clinical manifestations, chest x-ray and thorax CT. After the operation we treated the patient by 10 mg/kg/day albendazole for out 6 weeks if there were no contraindications.

Results:
In five patients the hydatid cysts were bilateral, in eleven patients the cysts were multiple and in three patients the cysts were at hepatic dome localization. Fifty-five patients underwent cystotomy and capitonnage, two patients underwent lobectomy. Three patients which the cysts were at hepatic dome localization underwent cystotomy via transdiafragmatically. There were no early or late mortalities. Three patients had postoperative complication. There were no recurrences in these cases for two years.

Conclusion:
We concluded that the procedure of cystotomy and capitonnage without resection is an efficient therapy in the pulmonary hydatid cyst cases.

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