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J Thorac Cardiovasc Surg 2006;132:560-564
© 2006 The American Association for Thoracic Surgery

General Thoracic Surgery

Effect of capitonnage and cystotomy on outcome of childhood pulmonary hydatid cysts

^a Thoracic Surgery, Sureyyapasa Thoracic and Cardiovascular Surgery Research and Teaching Hospital, Istanbul, Turkey
^b Thoracic Surgery, Dr. Lutfi Kirdar Kartal Research and Teaching Hospital, Istanbul, Turkey.

Received for publication February 15, 2006; revisions received May 22, 2006; accepted for publication May 23, 2006.

^_* Address for reprints: Altug Kosar, MD, Thoracic Surgery, Sureyyapasa Thoracic and Cardiovascular Surgery Research and Teaching Hospital, Ataturk cad. 46/16 Erenkoy, Istanbul 34734, Turkey. (Email: altugkosar{at}yahoo.com).

OBJECTIVE: In this clinical retrospective study cystotomy and capitonnage were compared in patients with childhood pulmonary hydatid cysts with regard to postoperative period.

METHODS: Between 1990 and 2004, 60 children with pulmonary hydatid cysts were treated surgically. There were 33 boys and 27 girls aged from 3 to 16 years. Cystotomy and closure of bronchial openings were performed in all patients. The patients were divided into 2 groups. While the residual cyst cavity was closed by means of capitonnage in group A (n = 37), cystotomy was applied in group B (n = 23).

RESULTS: There was no mortality in either group. Chest tubes were removed after 3.59 ± 1.04 days in group A and 5.83 ± 2.84 days in group B. The hospital stay was 4.86 ± 1.43 days for group A and 7.22 ± 3.34 days for group B. Prolonged air leak was found in 2 children in group A and 7 children in group B. There was a significant difference between group A and group B with regard to chest tube removal time (P = .001), hospital stay (P = .003), development of prolonged air leak (P = .004), and all complications (P = .031). Follow-up information was available for 49 children, ranging from 13 to 86 months (mean, 56 months). Recurrence was seen in 2 children of group A and 1 child of group B during the follow-up period (P = .698).

CONCLUSION: Capitonnage for pulmonary hydatid cysts is superior to cystotomy because it reduces morbidity (especially prolonged air leak) and hospital stay.

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