Duygu MERGAN İLİKLERİ, Ufuk ÇOBANOĞLU, Fuat SAYIR

The evaluation of pulmonary hydatic cyst and their surgical results in our region

The demographic characteristics, clinical and radiological findings, surgical procedures and surgical results of pulmonary hydatid cyst patients who underwent surgical treatment between 2009 and 2013 in our clinic were evaluated. Pulmonary hydatid cyst cases who underwent surgical treatment between 2009-2013 were analyzed retrospectively. A total of 84 (48.8%), 41 women and 43 (51.19%) men with pulmonary hydatid cysts were included in the study. Diagnosis was made by radiological evaluation in all hydatid cyst cases. In our study, one-way analysis of variance test and Chi-square test were used as statistical methods with the SPSS statistics package program. Of all 84 patients who were decided to undergo surgical intervention due to pulmonary hydatid cyst, 69 (82.14%) of them had single and 15 (17.85%) of them had multiple pulmonary hydatid cysts. Hydatid cyst was observed in the left lung in 30 patients (38%), in the right lung in 37 patients (44%), and bilaterally in 15 patients (18%). The most common (88.09%) preferred surgical procedure was cystotomy+capitonnage. In our study, no mortality related to hydatid cyst was observed. Hydatid cyst disease is an endemic disease in our country. It should be kept in mind in suspicious clinical and radiology situations as it may also progress without symptoms. The curative treatment of pulmonary hydatid cysts is surgical, and the cystotomy+capitonnage technique which we preferred the most in our study is a reliable procedure and radical parenchyma resections such as pneumonectomy, lobectomy or segmentectomy should be avoided as much as possible.

PDF

___

1. Lightowlers MW, Gottstein B. Echinococcosis/hydatidosis: Antigens, immunological and molecular diagnosis. In Thompson RCA, Lymbery AJ, eds: Echinococcus and hydatid disease. Wallingford, UK: CAB International. 1995;355-410.

2. Imad S Dandan. Hydatid Cysts. http:// www. Emedicine.com/mrd/ topic1046.htm

3. Sayek I, Tirnaksiz MB, Dogan R. Cystic hydatid disease: current trends in diagnosis and management. Surg Today. 2004;34:987-96.

4. T.C Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü. Bulaşıcı hastalıkların i̇hbarı ve bildirim sistemi standart tanı, sürveyans ve laboratuvar rehberi. 4. Baskı Ankara. 2005.

5. Yalav E, Okten I. Akciger Kist Hidatiklerini Cerrahi Tedavi Yöntemleri. AÜ Tıp Fakültesi,1980: 9-95.

6. Topcu S, Kurul I.C, Tastepe I, et al. Surgical treatment of pulmonary hydatid cyst in children. J Thorac Cardiovasc Surg. 2000; 120:1097-101.

7. Gürses N, Alp M, Sarıoğlu T, et al. Çocukluk çağı akciğer hidatik kistlerinde cerrahi tedavi. Pediatrik Cerrahi Dergisi. 1987;2:66-7.

8. Deniz A, Ayhan G, Nural K, et al. Hydatid disease in childhood: a retrospective analysis of 376 cases. Pediatric Pulmonology. 1988;26:190-6.

9. Todorov T, Boeva V. Echinococcosis in children and adolescents in Bulgaria: a comparative study. Ann Trop Med Parasitol. 2000;94:135-44.

10. Dogru D, Kiper N, Ozcelik U, et al. Medical treatment of pulmonary hydatid disease: for which child? Parasitol Int. 2005;54:135-8.

11. Dogan R, M. Yuksel M, Cetin G, et al. Surgical treatment of hydatid cysts of the lung: report on 1055 patients. Thorax. 1989;44:192-9.

12. Tor M, Atasalihli A, Altuntas N, et al. Review of cases with cystic hydatid lung disease in a tertiary referral hospital located in an endemic region: a 10 years experience. Respiration. 2000;67:539-42.

13. Yüksel M, Kalaycı NG. Akciğer kist hidatiğinin cerrahi tedavisi. Yüksel M, Kalaycı N.G. (Editörler) Göğüs Cerrahisi. İstanbul: Bilmedya Grup. 2001:647-56.

14. Uysal EB. Hidatidozun tanısında ticari İFA ve İHA testleri ile laboratuvarımızda kendi hazırladığımız i̇ndirekt flöresan antikor testinin karşılaştırılması (tez).Konya: T.C. Selçuk Üniversitesi Meram Tıp Fakültesi; 2008.

15. Poyraz AS. Kliniğimizde yatarak tedavi gören akciğer hidatik kistli vakaların retrospektif değerlendirilmesi (tez). Konya: T.C. Selçuk Üniversitesi Meram Tıp Fakültesi; 2002.

16. Yalcinkaya I, Er M, Ozbay B, et al. Surgical treatment of hydatid cyst of the lung: review of 30 cases. Eur Respir J. 1999;13:441–4.

17. Asci Z, Seyrek A, Kizirgil A, et al. Prevalance of Echinococcus granulosus in Elazıg Region as Detected by Casonie test. T. Parazitol Derg. 1997;21:257-9.

18. Sayir F. Kist hidatikli olgularda cerrahi deneyimimiz. Eurasian J Med. 2007;179:18-9.

19. Çobanoğlu U, Sayır F, Mergan D.Kist hidatik hastalarıyla aynı yaşam alanını paylaşan bireylerde radyolojik ve serolojik tarama sonuçları. Türkiye Parazitol Derg. 2012;36:65-70.

20. Yazar S. Kayseri ve Çevresinde Echinococcosis 11. Ulusal Parazitoloji Kongresi 6-10 Eylül Sivas Kongre Kitabı 1999:8.

21. Rajaii M. Comparison of ELISA and IHA Diagnostic tests in the detection of human Hydatidosis in Tabriz. IMJ. 2005;4:14-6.

22. Topuzlar M, Eken C, Ozkurt B, et al. Possible anaphylactic reaction due to pulmonary hydatid cyst rupture following blunt chest trauma:a case report and review of the literature. Wilderness Environ Med. 2009;19:119-23.

23. Sırmalı M. Akciğer kist hidatikleri cerrahi tedavisi. Tıp Araştırmaları Dergisi. 2005;3:46-9.

24. Merdivenci A. Türkiye'de Hidatik Kist Hastalığı. İstanbul: İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Yayınları. 1976;2145-36.

25. Harlaftis NN, Aletras HA, Symbas PN. Hydatid disease of the lung. In: Shields TW, Locicero III J, Reed CE, Feins RH, editors. General thoracic surgery. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 1187-95.

26. Parelkar SV, Gupta RK, Shah H, et al. Experience with video-assisted thoracoscopic removal of pulmonary hydatid cysts in children. J Pediatr Surg. 2009;44:836-41.

27. Aribas OK, Kanat F, Gormus N,et al. Pleural complications of hydatid disease. J Thorac Cardiovasc Surg. 2002;123:492-7.

28. Sayir F, Cobanoğlu U, Sehitoğullari A. Surgical treatment of pulmonary hydatid cysts, which perforated to the pleura. EAJM. 2012;44:79-83.

29. Turgut AT, Altinok T, Topcu S, et al. Local complications of hydatid disease involving thoracic cavity: Imaging findings. Eur J Radiol. 2009;70:49–56.

30. Peleg H, Best LA, Gaitini D. Simultaneous operation for hydatid cysts of right lung and liver. J Thorac Cardiovasc Surg. 1985;90:783-7.

31. Varela A, Burgos R, Castedo E. Parasitic diseases of the lung and pleura. In: Patterson GA, Cooper JD, Deslauriers J, editors. Pearson’s thoracic & esophageal surgery, 3rd ed. Philadelphia: Churchill Livingstone; 2008. p. 550-65.

32. Şanlı M, Tunçözgür B, Elbeyli L. Pulmoner hidatidoz ve cerrahi tedavisi. Türk Göğüs Kalp Damar Cer Derg. 2000;8:703-5

33. Sahin E, Enon S, Cangir AK, et al. Single-stage transthoracic approach for right lung and liver hydatid disease. J Thorac Cardiovasc Surg. 2003;126:769-73

34. Erdogan A, Ayten A, Kabukcu H, et al. Onestage transthoracic operation for the treatment of right lung and liver hydatid cysts. World J Surg. 2005;29:1680-6.

35. Arinç S, Kosif A, Ertuğrul M, et al. Evaluation of pulmonary hydatid cyst cases. Int J Surg. 2009;7:192-5.

36. Önen A, Şanlı A, Avcı BY. Akciğerin dev kist hidatiği: 10 Olgu Sunumu. Toraks Dergisi. 2004;5:106-9.

37. Demirhan R, Onan B, Kıral H ve ark. Çocukluk çağı akciğer dev kist hidatiklerinde cerrahi tedavi. Türk Göğüs Kalp Damar Cer Derg. 2010;18:121-5.