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The evaluation of pulmonary hydatic cyst and their surgical results in our region

Duygu Mergan Iliklerden, Ufuk Cobanoglu, Fuat Sayir.




Abstract

The demographic characteristics, clinical and radiological findings, surgical procedures and surgical results of pulmonary hydatid cyst patients who underwent surgical treatment between 2009 and 2013 in our clinic were evaluated. Pulmonary hydatid cyst cases who underwent surgical treatment between 2009-2013 were analyzed retrospectively. A total of 84 (48.8%), 41 women and 43 (51.19%) men with pulmonary hydatid cysts were included in the study. Diagnosis was made by radiological evaluation in all hydatid cyst cases. In our study, one-way analysis of variance test and Chi-square test were used as statistical methods with the SPSS statistics package program. Of all 84 patients who were decided to undergo surgical intervention due to pulmonary hydatid cyst, 69 (82.14%) of them had single and 15 (17.85%) of them had multiple pulmonary hydatid cysts. Hydatid cyst was observed in the left lung in 30 patients (38%), in the right lung in 37 patients (44%), and bilaterally in 15 patients (18%). The most common (88.09%) preferred surgical procedure was cystotomy+capitonnage. In our study, no mortality related to hydatid cyst was observed. Hydatid cyst disease is an endemic disease in our country. It should be kept in mind in suspicious clinical and radiology situations as it may also progress without symptoms. The curative treatment of pulmonary hydatid cysts is surgical, and the cystotomy+capitonnage technique which we preferred the most in our study is a reliable procedure and radical parenchyma resections such as pneumonectomy, lobectomy or segmentectomy should be avoided as much as possible.

Key words: Pulmonary, hydatid cyst, echinococcus granulosus






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