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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
1999-11-9
pubmed:abstractText
Lung is the second most common site for hydatid disease after the liver. The aim of this study is to present the clinical symptomatology, diagnostic evaluation, and surgical techniques for the treatment of lung hydatid disease. During the last 25 years, 42 patients with lung hydatid cysts were treated surgically in our department. In four patients there were cysts in the liver and in one case in the spleen. The cysts were located in the right lung in 16 patients (38%), in the left lung in 23 patients (54.8%), and in both lungs in 3 patients (7.14%). Eighteen patients (42.9%) presented with complications: suppuration in one patient (2.4%), rupture to the bronchial tree in 16 patients (38%), and pneumothorax in one patient (2.4%). Diagnosis was established preoperatively in all cases; chest radiography and computed tomography were most helpful for diagnosis. Forty-six operations were performed in 42 patients; three patients with bilateral cysts underwent staged thoracotomies, and one patient was reoperated for recurrent disease. All cases were managed surgically, with several types of radical (34 cases) or conservative (12 cases) procedures. Radical procedures were lobectomy and rarely pneumonectomy, which were used more often during the first half of the study period. Cystectomy with capitonnage, the most commonly performed conservative procedure, was mainly used during the second half of the study period. Postoperative morbidity was 15.2% and the 30-day mortality rate was 0%. In one case there was postoperative hemorrhage that required reexploration. The median hospital stay for uncomplicated cases was 12 days and for complicated cases 21 days. In conclusion, pulmonary hydatidosis often presents with complications requiring emergency surgery. A lung-conserving operation is the treatment of choice for lung hydatid disease and offers a good surgical outcome with a minimal recurrence rate.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0364-2313
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1181-5
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:10501882-Adult, pubmed-meshheading:10501882-Bronchi, pubmed-meshheading:10501882-Echinococcosis, pubmed-meshheading:10501882-Echinococcosis, Hepatic, pubmed-meshheading:10501882-Echinococcosis, Pulmonary, pubmed-meshheading:10501882-Female, pubmed-meshheading:10501882-Hospitalization, pubmed-meshheading:10501882-Humans, pubmed-meshheading:10501882-Length of Stay, pubmed-meshheading:10501882-Male, pubmed-meshheading:10501882-Pneumonectomy, pubmed-meshheading:10501882-Pneumothorax, pubmed-meshheading:10501882-Postoperative Hemorrhage, pubmed-meshheading:10501882-Radiography, Thoracic, pubmed-meshheading:10501882-Recurrence, pubmed-meshheading:10501882-Reoperation, pubmed-meshheading:10501882-Rupture, Spontaneous, pubmed-meshheading:10501882-Splenic Diseases, pubmed-meshheading:10501882-Suppuration, pubmed-meshheading:10501882-Survival Rate, pubmed-meshheading:10501882-Thoracotomy, pubmed-meshheading:10501882-Tomography, X-Ray Computed, pubmed-meshheading:10501882-Treatment Outcome
pubmed:year
1999
pubmed:articleTitle
Surgical treatment for lung hydatid disease.
pubmed:affiliation
2nd Department of Propedeutic Surgery, University of Athens, Faculty of Medicine, Laiko General Hospital, 17 Agiou Thoma Street, Goudi, Athens 11527, Greece.
pubmed:publicationType
Journal Article