Complicated hydatid cysts of the lung clinical and therapeutic issues
Yükleniyor...
Dosyalar
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Annals of thoracic surgery
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
The clinical presentation and the preoperative
and postoperative complications associated with
pulmonary hydatid cysts depend on whether the cyst is
intact or ruptured. The aim of this study was to review
the problems encountered in treating ruptured pulmonary
hydatid cysts and to highlight the risks associated
with chemotherapy and the delay of surgical treatment in
pulmonary hydatid disease.
Methods. The medical records for 67 patients of pulmonary
hydatidosis were retrospectively investigated.
The patients were divided into two groups based on
whether the pulmonary cyst was intact (group 1, n 34)
or complicated (group 2, n 33). A complicated cyst was
defined as one that had ruptured into a bronchus or into
the pleural cavity. All patients were treated surgically.
Data related to symptoms, preoperative complications,
surgical procedures performed, postoperative morbidity,
hospitalization time, and cyst recurrence were collected
from each individual’s records, and the group findings
were compared.
Results. In most cases of intact pulmonary hydatid
cysts, the lesions were either incidental findings or the
patient had presented with cough, dyspnea and chest
pain. In addition to these symptoms, the patients with
complicated cyst had presented with problems such as
expectoration of cystic contents, repetitive hemoptysis,
productive sputum, and fever. The differences between
the groups with respect to the rates of preoperative
complications and postoperative morbidity, frequency of
decortication, and hospital stay were statistically significant
(p < 0.05).
Conclusions. Surgery is the primary mode of treatment
for patients with pulmonary hydatid disease. Complicated
cases have higher rates of preoperative and postoperative
complications and require longer hospitalization
time and more extensive surgical procedures than
uncomplicated cases. This underlines the need for immediate
surgery in any patient who is diagnosed with
pulmonary hydatidosis.
Açıklama
Anahtar Kelimeler
Kaynak
Annals of thoracic surgery
WoS Q Değeri
Scopus Q Değeri
Cilt
77
Sayı
Künye
Kuzucu, A. Soysal, Ö. Özgel, M. Yoloğlu, S. (2004). Complicated Hydatid Cysts of the Lung Clinical and Therapeutic Issues. Annals of thoracic surgery. ;77:1200–1204.
