Yener Aydın, Abdurrahim Çolak, Necip Becit, Atila Türkyılmaz, Atilla Eroğlu

Pulmoner, perikardial ve hepatik kist hidatikte tek basamak transtorasik operasyon

Ülkemiz kist hidatik için endemik bir bölgedir. Echinococcus granulosus en sık karaciğer ve akciğer olmak üzere tüm organları tutabilmektedir. Olguların yaklaşık üçte birinde multipl organ tutulumu görülmektedir. Multipl kist hidatiğin cerrahi tedavisinde zorluklarla karşılaşılabilmekte ve birkaç seans cerrahi i lem gerekebilmektedir. Bu çalışmada tek basamakta transtorasik yaklaşım ile cerrahi uyguladığımız sağ akciğer, perikardial ve karaciğer kist hidatikli bir olguyu sunduk.

Anahtar Kelimeler:

Ekinokokkozis, tedavi

One-stage transthoracic operation in pulmonary, pericardial and hepatic hydatid cysts

Our country is an endemic location for hydatid cysts. Echinococcus granulosus can involve all organs in body being frequently liver and lungs. Multiple organ involvement occurs in approximately one third of cases. Occasionally, challenges may occur in surgical treatment of multiple hydatid cyst and several occasions of surgical procedures may be required. In this study, we present a case of right pulmonary, pericardial and hepatic hydatid cysts in which we performed surgery with a one-stage transthoracic approach.

Keywords:

Echinococcosis, treatment,

PDF

___

Karawi MA, Yasawy MJ, El Shiekh Mohamed AR. Endoscopic management of biliary hydatid disease: report on six cases. En- doscopy. 1991; 23: 278–281.
Peleg H, Best L-A, Gaitini D. Simultaneous operation for hydatid cysts of right lung and liver. J Thorac Cardiovasc Surg 1985; 90: 783–787.
Abid A, Khayati A, Zargouni N. Hydatid cyst of the heart and peri- cardium. International Journal of Cardiology. 1991; 32: 108-109.
Prousalidis J, Kosmidis CH, Fahantidis E, Harlaftis N, Aletras O. Surgical treatment of multiple cystic echinococcosis. HPB. 2004; 6: 110-114.
Köktürk O, Gürüz Y, Akay H, Akhan O, Biber Ç, Çağırıcı U, et al. Toraks Derneği Paraziter Akciğer Hastalıkları Tanı ve Tedavi Re- hberi 2002. Toraks 2002; 3: 1-16.
Karaoglanoglu N, Kürkcüoglu IC, Görgüner M, Eroglu A, Türkyılmaz A. Giant hydatid lung cysts. Eur J Cardiothorac Surg 2001;19: 914-917.
Ünal Ö, Etlik Ö, Arslan H, Kotan Ç, Tuncer İ, Köseoğlu B. Percuta- neous treatment of abdomınal hydatıdozıs. T Klin J Gastroentero- hepatol 2002, 13:79-85.
Gezer S, Sirmali M, Göktürk F, Türüt H,Öz G, Taştepe İ, et al. Sin- gle stage transthoracic approach to simultaneous right lung and liver hydatid cysts] S.D.Ü. Tip Fak. Derg. 2008:15:1-5.
Akar R, Eryilmaz S, Yazicioglu L, Eren NT, Durdu S, Uysalel A, et al. Surgery for cardiac hydatid disease: an Anatolian experience. Anadolu Kardiyol Derg 2003; 3: 238-44.
Meşe B, Uygur F, Erdoğan MB, Asil R, Yamak B. Surgical treat- ment of isolated cardiac echinococcosis, located in the right ven- tricular outflow tract. Anadolu Kardiyol Derg. 2006; 6: 372-3.
WHO Informal Working Group on Echinococcosis. Guidelines for treatment of cystic and alveolar echinococcosis in humans. Bull World Health Organ 1996; 74: 231–242.