HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Serkan Enön Ayten Kayi Cangir Hakan Kutlay Sevket Kavukçu Hadi Akay Sinasi Yavuzer Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sahin, E. Articles by Yavuzer, S. Search for Related Content PubMed PubMed Citation Articles by Sahin, E. Articles by Yavuzer, S.

J Thorac Cardiovasc Surg 2003;126:769-773
© 2003 The American Association for Thoracic Surgery

General thoracic surgery

Single-stage transthoracic approach for right lung and liver hydatid disease

Ekber ahin, MD^a, Serkan Enön, MD^a, Ayten Kay Cangr, MD^a, Hakan Kutlay, MD^a, evket Kavukçu, MD^a,*, Hadi Akay, MD^a, lker Ökten, MD^a, inasi Yavuzer, MD^a

^a Department of Thoracic Surgery, Ankara University Medical School, Ankara, Turkey

Received for publication June 14, 2002; revisions received August 26, 2002; revisions received October 4, 2002; accepted for publication October 18, 2002.

^* Address for reprints: Dr evket Kavukçu, Ankara Üniversitesi Tp Fakültesi, bn-i Sina Hastanesi, Göüs Cerrahisi Anabilim Dal, Samanpazar-Ankara, Turkey, 06100
kayicangir{at}hotmail.com

OBJECTIVE:: Human echinococcosis remains a serious health problem for the Mediterranean countries. Synchronous pulmonary and hepatic hydatid disease may occur in 4% to 25% of cases. Our experience on simultaneous surgical treatment of right lung and liver hydatid disease in patients was reviewed.

METHODS: Between 1990 and 2000, 48 patients (33 female patients and 15 male patients) with synchronous right lung and liver dome hydatid cysts were operated with a 1-stage procedure.

RESULTS: Six patients had previous surgical treatment of hepatic (n = 2) or pulmonary (n = 4) hydatid cyst. The pulmonary cysts were diagnosed with radiography in 18 patients and thoracic computed tomography scan in 30. The pulmonary cysts of 9 patients were bilateral. Seventy-five pulmonary cysts were seen in radiological examinations. The diagnosis of hepatic cysts was established with ultrasonography in 18 patients and upper abdominal computed tomography in 30. The total number of hepatic cysts was 48. In cases with pulmonary cysts, cystotomy and capitonnage were performed in 32 patients, only cystotomy was done in 14 patients, and wedge resection was performed in 2. Liver cysts were approached to transdiaphragmatically after the lung cysts had been dealt with and were managed with evacuation of the cysts. In the remaining cases, marsupialization (n = 2), pericystectomy (n = 1), and enucleation (n = 1) were performed. Major postoperative complications were hemorrhage (n = 1) and biliocutaneous fistula (n = 1). Hepatic recurrence was seen in 3 patients (6.2%) and pulmonary recurrence in 1 (2.1%).

CONCLUSION: Transthoracic approach is a useful and a safe surgical management of both pulmonary and upper surface of hepatic hydatid cysts.

This article has been cited by other articles:

				S. Halezeroglu Resection of intrathoracic and subdiaphragmatic hydatid cysts MMCTS, April 25, 2005; 2005(0425): 307. [Abstract] [Full Text] [PDF]