Surgical
Surgical Procedures and Postoperative Complications in
Patients with Giant and Non-giant Pulmonary Hydatid Cysts
Mohsen Sokouti 1,
Masoud Pezeshkian 2, Kamyar Ghabili 3, Samad EJ
Golzari 4
1. Department of Cardiovascular Surgery, Tabriz
University of Medical Sciences, Tabriz, Iran
2. Cardiovascular Research Center, Tabriz
University of Medical Sciences, Tabriz, Iran
3. Physical Medicine and Rehabilitation Research
Center, Tabriz University of Medical Sciences, Tabriz, Iran
4. Tuberculosis and Lung Disease Research Center,
Tabriz University of Medical Sciences, Tabriz, Iran
Abstract: There
is a challenge over treatment of giant pulmonary hydatid cysts. Therefore, we
aimed at comparing the surgical procedures and postoperative complications
between patients with giant and non-giant hydatid cysts. In a retrospective
clinical study, patients operated for hydatid lung cysts were divided into
giant pulmonary hydatid cysts (size>10 cm) and non-giant hydatid cysts
groups. Patients were treated surgically using lung preservation (capitonnage,
uncapitonnage and segmentectomy) and lobectomy procedures. A total of 612
patients, 59 (9.6%) in the giant and 553 (90.4%) in the non-giant pulmonary
hydatid cysts, were recruited. The most common symptoms in the giant group were
cough (100%) and dyspnea (71.2%). These symptoms along with the systemic
symptoms and ruptured hydatid cysts were more observed in the giant group
(P<0.001). The lung preservation procedures and cyst delivery were more
performed in the non-giant group (P<0.001), while lobectomy, needle
aspiration and bronchial opening closure procedures were more applied to the
giant group (P<0.05). The postoperative pulmonary complications, excluding
empyema and anaphylaxis, were more observed in the non-giant group
(P<0.001). The patients undergoing the surgery of giant pulmonary hydatid
cysts, using lobectomy in comparison with the lung preserving procedures
experience lesser postoperative pulmonary complications and total length of
hospitalization.
[Sokouti
M, Pezeshkian M, Ghabili K, Golzari SE. Surgical Procedures and
Postoperative Complications in Patients with Giant and Non-giant Pulmonary
Hydatid Cysts. Life
Sci J 2013;10(1):138-142] (ISSN:1097-8135).http://www.lifesciencesite.com. 20
Keywords: Giant hydatid cyst; lung; parenchymal preservation;
lobectomy Full Text 20
