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Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi

Year 2017, Volume: 8 Issue: 4, 184 - 190, 15.12.2017
https://doi.org/10.18663/tjcl.354361

Abstract

Amaç: Bu
çalışmanın amacı akciğerin dev kist hidatiklerinin daha küçük boydaki hidatik
kistlerle karşılaştırılmasıdır.

Gereç ve
Yöntemler:
Akciğer kist hidatiği nedeniyle ameliyat edilen 62
hasta geriye dünük olarak değerlendirildi. Hastalar dev kist hidatik (Grup A,
n=23) ve daha küçük çapta olanlar (Grup B, n=39) olmak üzere iki gruba ayrıldı.
Gruplar yaş, cinsiyet, semptomlar, kist yerleşimi ve sayısı, preoperative
komplikasyonlar, uygulanan cerrahi girişim şekli, postoperative uzamış hava
kaçağı, göğüs tüpü alınma günü, postoperative komplikasyonlar, hastanede kalış
süresi, morbidite ve mortalite açısından karşılaştırıldı.

Bulgular: Yaş,
cinsiyet, kist yerleşim yeri açısından anlamlı fark saptanmadı ((P = 0.925, P =
0.293, P = 0.179). Grup A’da 21 (%91) vakada kistler tek , Grup B’de vakaların
yaklaşık 1/3’ünde birden fazla kist saptandı. Kistleri tek olması anlamlı
bulundu (P = 0.005). Grup A’da 13 (%56) vakada kistotomi + kapitonaj
yapılırken, Grup B’de 8 (%20) vakada yapılmıştı.
  Kistotomi + kapitonaj yöntemi Grup B’de Grup
A’ya göre anlamlı olarak yüksekti. Uzamış hava kaçağı Grup A’da 8 (%20), Grup
B’de 2 (%5) vakada gözlendi. Ortalama göğüs tüpü çekilme günü Grup A’da 4.57 ±
2.48 gün, Grup B’de 2.49 ± 1.63 gün ve hastanede kalış süresi Grup A’da 8.48 ±
3.39 gün ve Grup B’de 5.69 ± 1.80 gün olup her iki parametre istatistiksel
olarak anlamlıydı (P < 0.001 ve P < 0.001). Postoperatif komplikasyonlar
Grup A’da iki, Grup B’de üç vakada gözlendi. Her iki grupta da mortalite yoktu.
    







Sonuçlar: Dev akciğer kistlerinin soliter görülme ihtimali
fazla, ortalama göğüs tüpü çekilme ve hastanede kalış süresi uygulanan
operasyondan bağımsız olarak uzamıştır. Kapitonajlı veya kapitonajsız
yöntemlerin uygulandığı her iki grupta küratif cerrahi girişimlerin sonuçları
mükemmeldir.
   

References

  • 1. Morar R, Feldman C. Pulmonary echinococcosis. Eur Resp J 2003; 21: 1069-77.
  • 2. Dziri C, Haouet K, Fingerhut A, Zaouche A. Management of cystic echinococcosis complications and dissemination: where is the evidence? World J Surg 2009; 33: 1266-73.
  • 3. Gupta MK, Pal D, Das T, et al. A case of multiple giant primary bilateral lung hydatid cysts in a very young child Clin Case Rep Rev 2015; 1: 61-4.
  • 4. Arroud M, Afifi MA, El Ghazi K, Nejjari C, Bouabdallah Y. Lung hydatic cysts in children: comparison study between giant and non-giant cysts. Pediatr Surg Int. 2009; 25: 37–40.
  • 5. Karaoglanoglu N, Kurkcuoglu IC, Gorguner M, Eroglu A, Turkyilmaz A. Giant hydatid lung cysts. Eur J Cardio-Thorac Surg 2001; 19: 914–7.
  • 6. Kocer B, Gulbahar G, Han S, Durukan E, Dural K, Sakinci U. An analysis of clinical features of pulmonary giant hydatid cyst in adult population. Am J Surg 2009; 197: 177-81.
  • 7. Erdogan A, Ayten A, Demircan A. Methods of surgical therapy in pulmonary hydatid disease: is capitonnage advantageous? Anz J Surg. 2005; 75:992-6.
  • 8. Ozpolat B. Autologous Blood Patch Pleurodesis in the Management of Prolonged Air Leak. Thorac cardiovasc Surg 2010; 58: 52-4.
  • 9. Özpolat B, Atinkaya C, Özdemir N. Treatment of Iatrogenic Tracheal Laceration with Cervical Mediastinotomy and Tube Drainage; a case report. J Clin Anal Med 2011; 2: 55-6.
  • 10. Ramos G, Orduna A, García-Yuste M. Hydatid Cyst of the Lung: Diagnosis and Treatment. World J Surg 2001; 25: 46-57.
  • 11. Halezeroglu S, Celik M, Uysal A, Senol C, Keles M, Arman B. Giant hydatid cysts of the lung. J Thorac Cardiovasc Surg 1997; 113: 712-7.
  • 12. Turna A, Yılmaz MA, Hacıibrahimoğlu G, Kutlu CA, Bedirhan MA. Surgical treatment of pulmonary hydatid cysts: is capitonnage necessary? Ann Thorac Surg 2002; 74: 191–5.
  • 13. Havlucu Y, Ozdemir L, Sahin E. Multiple cystic echinococcosis mimicking metastatic malignancy. Resp Med CME 2010; 3; 132-4.
  • 14. Çelik M, Senol C, Keles M, et al. Surgical treatment of pulmonary hydatid disease in children: Report of 122 cases. J Ped Surg 2000; 35: 1710-3.
  • 15. Uygun SS, Arıbaş OK, Pekca S. 8-year old patient with giant hydatid cyst consulted with chest wall asymmetry. Ped Int 2015; 57: 1164-66.
  • 16. Dincer SI, Demir A, Sayar A, Gunluoglu MZ, Kara HV, Gurses A. Surgical treatment of pulmonary hydatid disease: a comparison of children and adults. J Pediatr Surg. 2006; 41: 1230-6.
  • 17. Çelik M, Şenol C, Keles M, et al. Surgical treatment of pulmonary hydatid disease in children: report of 122 cases. J Pediatr Surg 2000; 35: 1710–3.
  • 18. Usluer O, Ceylan KC, Kaya S, Sevinc S, Gursoy S. Surgical Management of Pulmonary Hydatid Cysts. Is Size an Important Prognostic Indicator? Tex Heart Inst J 2010; 37: 429-34.
  • 19. Kanat F, Turk E, Aribas OK. Comparison of pulmonary hydatid cysts in children and adults. Anz J Surg 2004; 74: 885-9.
  • 20. Yalcinkaya I, Er M, Ozbay B, Ugras S. Surgical treatment of hydatid cyst of the lung: review of 30 cases. Eur Resp J 1999; 13: 441-4.
  • 21. Lamy AL, Cameron BH, Leblanc JG, Culham JA, Blair GK, Taylor GP. Giant hydatid lung cysts in the Canadian northwest: outcome of conservative treatment in three children. J Pediatr Surg 1993; 28: 1140-3.
  • 22. Özpolat B, Sayın M, Dogan OV, Dogan Y. Simultaneous traumatic rupture of bilateral pulmonary hydatid cysts. J Thorac Cardiovasc Surg 2005; 130: 908-9.
  • 23. Dakak M, Caylak H, Kavakli K, et al. Parenchyma-saving surgical treatment of giant pulmonary hydatid cysts. Thorac Cardiovasc Surg 2009; 57: 165-8.
  • 24. Bilgin M, Oğuzkaya F, Akçalı Y. Is capitonnage unnecessary in the surgery of intact pulmonary hydatic cyst? ANZ J Surg 2004; 74: 40-2.
  • 25. Eren MN, Balci AE, Eren S. Non-capitonnage method for surgical treatment of lung hydatid cysts. Asian Cardiovasc Thorac Ann 2005; 13: 20-3.
  • 26. Sonmez K, Turkyilmaz Z, Demirogullari B, et al. Hydatid cysts of the lung in childhood: is capitonnage advantageous? Ann Thorac Cardiovasc Surg 2001; 7: 11-3.
  • 27. Stamatakos M, Sargedi C, Stefanaki Ch, Safioleas C, Matthaiopoulou I, Safioleas M. Anthelminthic treatment: an adjuvant therapeutic strategy against Echinococcus granulosus. Parasitol Int 2009; 58: 115-20.

A comparative analysis of giant and smaller hydatid cysts of lung treated surgically

Year 2017, Volume: 8 Issue: 4, 184 - 190, 15.12.2017
https://doi.org/10.18663/tjcl.354361

Abstract

Aim: We aimed to
compare several features of giant hydatid cysts of the lung, with smaller cysts
both treated surgically.

Material and Methods: A retrospective evaluation of 62 patients operated for hydatid cysts of lung were done. The patients were divided into two
groups whether the pulmonary cyst was giant (group A, n = 23) or smaller in
diameter (group B, n = 39). The groups were compared for age, gender, clinical
symptoms, cyst location and number, preoperative complication, type of surgical
procedure performed, postoperative prolonged air leak, chest tube removal day,
postoperative complications,
duration of
hospitalization, morbidity and mortality
.

Results: No
significant difference was detected between mean age, gender and site of
location of the cyst (P = 0.925, P = 0.293, P = 0.179). Twenty-one (91%) of the
cases had solitary cyst in group A, whereas nearly 1/3 had multiple cysts in
group B. Solitary predominance for giant hydatid cysts was significant (P =
0.005). Cystotomy plus non-capitonnage method was performed in 13 (56%) cases
in group A and, 8 (20%) cases in group B. The frequency of cystotomy plus
capitonnage method was significantly higher in group B compared to group A
(p=0.004). Prolonged air leak was seen in 5 (22%) cases in group A and 2 (5%)
cases in group B. Mean chest tube removal time was 4.57 ± 2.48 days in group A
and 2.49 ± 1.63 days in group B. Duration of hospitalization was 8.48 ± 3.39
days in group A and 5.69 ±
1.80
in
group B and the difference for both parameters were
significant statistically (P < 0.001 and P < 0.001). Postoperative
complications other than prolonged air leak were seen in two cases in group A
and three cases in group B. There was no mortality in either groups.







Conclusions: The giant hydatid cysts had a
predominance to be solitary and mean chest tube removal time and
duration of hospitalization was prolonged independent from type of operation
performed.
Conservative surgical interventions, whether
capitonnage or non-capitonnage methods were performed, had excellent outcomes
in
both groups.

References

  • 1. Morar R, Feldman C. Pulmonary echinococcosis. Eur Resp J 2003; 21: 1069-77.
  • 2. Dziri C, Haouet K, Fingerhut A, Zaouche A. Management of cystic echinococcosis complications and dissemination: where is the evidence? World J Surg 2009; 33: 1266-73.
  • 3. Gupta MK, Pal D, Das T, et al. A case of multiple giant primary bilateral lung hydatid cysts in a very young child Clin Case Rep Rev 2015; 1: 61-4.
  • 4. Arroud M, Afifi MA, El Ghazi K, Nejjari C, Bouabdallah Y. Lung hydatic cysts in children: comparison study between giant and non-giant cysts. Pediatr Surg Int. 2009; 25: 37–40.
  • 5. Karaoglanoglu N, Kurkcuoglu IC, Gorguner M, Eroglu A, Turkyilmaz A. Giant hydatid lung cysts. Eur J Cardio-Thorac Surg 2001; 19: 914–7.
  • 6. Kocer B, Gulbahar G, Han S, Durukan E, Dural K, Sakinci U. An analysis of clinical features of pulmonary giant hydatid cyst in adult population. Am J Surg 2009; 197: 177-81.
  • 7. Erdogan A, Ayten A, Demircan A. Methods of surgical therapy in pulmonary hydatid disease: is capitonnage advantageous? Anz J Surg. 2005; 75:992-6.
  • 8. Ozpolat B. Autologous Blood Patch Pleurodesis in the Management of Prolonged Air Leak. Thorac cardiovasc Surg 2010; 58: 52-4.
  • 9. Özpolat B, Atinkaya C, Özdemir N. Treatment of Iatrogenic Tracheal Laceration with Cervical Mediastinotomy and Tube Drainage; a case report. J Clin Anal Med 2011; 2: 55-6.
  • 10. Ramos G, Orduna A, García-Yuste M. Hydatid Cyst of the Lung: Diagnosis and Treatment. World J Surg 2001; 25: 46-57.
  • 11. Halezeroglu S, Celik M, Uysal A, Senol C, Keles M, Arman B. Giant hydatid cysts of the lung. J Thorac Cardiovasc Surg 1997; 113: 712-7.
  • 12. Turna A, Yılmaz MA, Hacıibrahimoğlu G, Kutlu CA, Bedirhan MA. Surgical treatment of pulmonary hydatid cysts: is capitonnage necessary? Ann Thorac Surg 2002; 74: 191–5.
  • 13. Havlucu Y, Ozdemir L, Sahin E. Multiple cystic echinococcosis mimicking metastatic malignancy. Resp Med CME 2010; 3; 132-4.
  • 14. Çelik M, Senol C, Keles M, et al. Surgical treatment of pulmonary hydatid disease in children: Report of 122 cases. J Ped Surg 2000; 35: 1710-3.
  • 15. Uygun SS, Arıbaş OK, Pekca S. 8-year old patient with giant hydatid cyst consulted with chest wall asymmetry. Ped Int 2015; 57: 1164-66.
  • 16. Dincer SI, Demir A, Sayar A, Gunluoglu MZ, Kara HV, Gurses A. Surgical treatment of pulmonary hydatid disease: a comparison of children and adults. J Pediatr Surg. 2006; 41: 1230-6.
  • 17. Çelik M, Şenol C, Keles M, et al. Surgical treatment of pulmonary hydatid disease in children: report of 122 cases. J Pediatr Surg 2000; 35: 1710–3.
  • 18. Usluer O, Ceylan KC, Kaya S, Sevinc S, Gursoy S. Surgical Management of Pulmonary Hydatid Cysts. Is Size an Important Prognostic Indicator? Tex Heart Inst J 2010; 37: 429-34.
  • 19. Kanat F, Turk E, Aribas OK. Comparison of pulmonary hydatid cysts in children and adults. Anz J Surg 2004; 74: 885-9.
  • 20. Yalcinkaya I, Er M, Ozbay B, Ugras S. Surgical treatment of hydatid cyst of the lung: review of 30 cases. Eur Resp J 1999; 13: 441-4.
  • 21. Lamy AL, Cameron BH, Leblanc JG, Culham JA, Blair GK, Taylor GP. Giant hydatid lung cysts in the Canadian northwest: outcome of conservative treatment in three children. J Pediatr Surg 1993; 28: 1140-3.
  • 22. Özpolat B, Sayın M, Dogan OV, Dogan Y. Simultaneous traumatic rupture of bilateral pulmonary hydatid cysts. J Thorac Cardiovasc Surg 2005; 130: 908-9.
  • 23. Dakak M, Caylak H, Kavakli K, et al. Parenchyma-saving surgical treatment of giant pulmonary hydatid cysts. Thorac Cardiovasc Surg 2009; 57: 165-8.
  • 24. Bilgin M, Oğuzkaya F, Akçalı Y. Is capitonnage unnecessary in the surgery of intact pulmonary hydatic cyst? ANZ J Surg 2004; 74: 40-2.
  • 25. Eren MN, Balci AE, Eren S. Non-capitonnage method for surgical treatment of lung hydatid cysts. Asian Cardiovasc Thorac Ann 2005; 13: 20-3.
  • 26. Sonmez K, Turkyilmaz Z, Demirogullari B, et al. Hydatid cysts of the lung in childhood: is capitonnage advantageous? Ann Thorac Cardiovasc Surg 2001; 7: 11-3.
  • 27. Stamatakos M, Sargedi C, Stefanaki Ch, Safioleas C, Matthaiopoulou I, Safioleas M. Anthelminthic treatment: an adjuvant therapeutic strategy against Echinococcus granulosus. Parasitol Int 2009; 58: 115-20.
There are 27 citations in total.

Details

Subjects Health Care Administration
Journal Section Orıgınal Artıcle
Authors

Berkant Özpolat

Rasih Yazkan

Nesimi Günal

Koray Dural

Publication Date December 15, 2017
Published in Issue Year 2017 Volume: 8 Issue: 4

Cite

APA Özpolat, B., Yazkan, R., Günal, N., Dural, K. (2017). Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi. Turkish Journal of Clinics and Laboratory, 8(4), 184-190. https://doi.org/10.18663/tjcl.354361
AMA Özpolat B, Yazkan R, Günal N, Dural K. Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi. TJCL. December 2017;8(4):184-190. doi:10.18663/tjcl.354361
Chicago Özpolat, Berkant, Rasih Yazkan, Nesimi Günal, and Koray Dural. “Cerrahi Olarak Tedavi Edilen Dev Ve Daha küçük Boyuttaki akciğer Kist Hidatiklerinin karşılaştırmalı Analizi”. Turkish Journal of Clinics and Laboratory 8, no. 4 (December 2017): 184-90. https://doi.org/10.18663/tjcl.354361.
EndNote Özpolat B, Yazkan R, Günal N, Dural K (December 1, 2017) Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi. Turkish Journal of Clinics and Laboratory 8 4 184–190.
IEEE B. Özpolat, R. Yazkan, N. Günal, and K. Dural, “Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi”, TJCL, vol. 8, no. 4, pp. 184–190, 2017, doi: 10.18663/tjcl.354361.
ISNAD Özpolat, Berkant et al. “Cerrahi Olarak Tedavi Edilen Dev Ve Daha küçük Boyuttaki akciğer Kist Hidatiklerinin karşılaştırmalı Analizi”. Turkish Journal of Clinics and Laboratory 8/4 (December 2017), 184-190. https://doi.org/10.18663/tjcl.354361.
JAMA Özpolat B, Yazkan R, Günal N, Dural K. Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi. TJCL. 2017;8:184–190.
MLA Özpolat, Berkant et al. “Cerrahi Olarak Tedavi Edilen Dev Ve Daha küçük Boyuttaki akciğer Kist Hidatiklerinin karşılaştırmalı Analizi”. Turkish Journal of Clinics and Laboratory, vol. 8, no. 4, 2017, pp. 184-90, doi:10.18663/tjcl.354361.
Vancouver Özpolat B, Yazkan R, Günal N, Dural K. Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi. TJCL. 2017;8(4):184-90.


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