Current Thoracic Surgery 2018 , Vol 3 , Issue 3
Evaluation of characteristics of the patients who undergo surgical treatment for lung hydatid cyst
Ersin Sapmaz1,Kuthan Kavaklı1,Merve Sengul Inan1,Hakan Isık1,Okan Karatas2,Deniz Dogan3,Hasan Caylak1,Sedat Gurkok1
1Department of Thoracic Surgery, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey
2Thoracic Surgery Clinic, Sinop Ataturk State Hospital, Sinop, Turkey
3Department of Pulmonology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey
DOI : 10.26663/cts.2019.00025 Viewed : 210 - Downloaded : 87 Background: Hydatid cyst is a public health problem, particularly where it is endemic. It is a benign disease and usually asymptomatic unless the symptoms and complications develop. Effective treatment is important because this benign disease can cause considerable mortality and morbidity. The aim of this study was to describe the epidemiological and clinical characteristics of HC, localization (bilateral lungs or multiple organ involvement) and perforation characteristics of HC.

Materials and Methods: 160 patients were operated on for pulmonary hydatid disease for about approximately 12 years of time period. Patients were evaluated according to their age, gender, distribution of cysts in the lung, extra-pulmonary organ involvements, presence or absence of perforations, and animal contact stories.

Results: Number of the cysts, the cyst diameter, gender, location of the cysts and the liver involvement were found unrelated with the perforation status of the cyst. But, there is a significant difference between the localization of the cysts in the lung and the involvement of the liver. The rates of presence of liver cysts in the case of unilateral right, unilateral left and bilateral cysts in the lung were found as 13%, 25% and 50% respectively.

Conclusions: Hydatid cyst is a public health problem and elimination is possible with rigorous work. In case of bilateral pulmonary cysts and the multiple number of cysts, the likelihood of a cyst in the liver is increased. It was concluded that there was no relationship between the presence of cysts in the liver and the absence of perforation in the lung cysts. However, it should be kept in mind in terms of the possible complications that may occur at high perforations in patients who received preoperative albendazole therapy. Keywords : albendazole monohydrochloride, cystic echinococcosis, hydatid cyst, perforation of cyst