Surgical Procedure
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
