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Objective:To review the problems encountered in surgical treatment of complicated pulmonary hydatid cysts and to evaluate the functional results in the surgery of complicated hydatid cysts.Methods:The medical records for 89 patients with complicated pulmonary hydatidosis were retrospectively investigated.The series consisted of 47 male and 42 female patients with a mean age of 32±8 years.Study performed during January 2000 to December 2007,all patients were treated surgically.Data related to surgical procedures performed,postoperative morbidity,hospitalization time,and cyst recurrence were collected from each individuals records,and the group findings were compared.Results:Among these cysts,58 were perforated,23 were infected,and 13 were cysts with pleural complications.Cystotomy plus capitonnage was the most frequently performed operative technique(n=43),followed by cystotomy plus closure of bronchial openings(n = 28),pericystectomy plus capitonnage(n=13),decortications(n=7),lobectomy and segmentectomy(n=3).The 11 cases with coexisting liver cysts were approached by right thoracophrenotomy.Postoperative complications developed in 12 patients(13.4%).Conclusion: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 when it is indicated.
Objective: To review the problems encountered in surgical treatment of complicated pulmonary hydatid cysts and to evaluate the functional results in the surgery of complicated hydatid cysts. Methods: The medical records for 89 patients with complicated pulmonary hydatidosis were retrospectively investigated. male and 42 female patients with a mean age of 32 ± 8 years. Study performed during January 2000 to December 2007, all patients were treated surgically. Data related to surgical procedures performed, postoperative morbidity, hospitalization time, and cyst recurrence were collected from each individuals records, and the group findings were compared.Results: Among these cysts, 58 were perforated, 23 were infected, and 13 were cysts with pleural complications. Cystotomy plus capitonnage was the most frequently performed operative technique (n = 43), followed by cystotomy plus closure of bronchial openings (n = 28), pericystectomy plus capitonnage (n = 13), decortications (n = 7), lobectom The 11 cases with coexisting liver cysts were approached by right thoracophrenotomy. Postoperative complications developed in 12 patients (13.4%). Conclusion: 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 when it is indicated.