Meltem BİNGÖL-KOLOĞLU, Ufuk ATES, Aydın YAĞMURLU, Ergun ERGÜN, Gülnur GÖLLÜ, Hüseyin DİNDAR, A Murat ÇAKMAK

Çocuklarda Akciğer Kist Hidatiğinde Torakoskopik Kistostomi

Amaç: Ekinokok enfeksiyonu dünyada; özellikle de Akdeniz ülkelerinde önemli bir sağlık problemi olmaya devam etmektedir.İnsanlardaki ekinokok enfeksiyonlarında akciğer, ikinci en sık etkilenen organdır. Bu enfeksiyon çocuklarda da görülebilir ve tedavi bazen zor olabilir. Çocuklarda küçük akciğer kist hidatikleri medikal tedaviye olumlu cevap verir. Büyük ve komplike kistlerde ise yaklasım cerrahidir. Çocuklardaki akciğer kist hidatiklerinde günümüzde uygulanan cerrahi tedavi torakotomi ile kistostomi ve kapitonaj gibi parankim koruyucu cerrahi islemlerdir fakat torakoskopik cerrahi deneyimi çocuklarda sınırlıdır. Bu çalısmanın amacı, çocuklarda akciğer kist hidatiklerinde torakoskopik cerrahi deneyiminin sunulmasıdır.

Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

Aim: Echinococcosis is still an important health problem throughout the world, particularly in the Mediterranean area. In humans, the lungs are the second most commonly affected sites. The disease may affect children and its treatment may be challenging. In children, small hydatid cysts of the lungs respond favorably to the medical treatment. Surgery is the standard option for the treatment of large and complicated cysts. In current practice, thoracotomy and parenchyme-saving procedures such as cystostomy and capitonnage remain the standard surgical approach for pulmonary hydatid cysts in children. However, surgical experience with thoracoscopy is limited. The aim is to present the experience in thoracoscopic management of pulmonary hydatid cysts in children.

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