4. Combined surgery of lung echinococcosis

Авторы

DOI:

https://doi.org/10.35805/BSK2024IV004

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Аннотация

Background. Pulmonary cystic echinococosis, a parasitic disease, is a health care problem in developing countries. In this study, we evaluated outcomes of patients with pulmonary hydatid disease who were treated in our department.Study was performed to compare results of surgical treatment and complications of patients with unilateral or bilateral thoracic and combined pulmonary cystic echinococosis.

Methods. This cross-sectional analysis of a prospective study was conducted in the Department of Thoracic and Pediatric Surgery, Scientific Center of Surgery, Almaty, Kazakhstan among 598 patients with pulmonary cystic echinococosis, who had surgical treatment with various surgical methods, depending on the prevalence of echinococcosis, as follows: right lung in 357 (59.5%) patients, left lung in 243 (40.5%) patients, bilateral in 95 (15.8%) patients, and complicated echinococcosis in 317 (52.8%) patients. Length of stay per hospital stay has been decreased (p 0.0001) by video-thoracoscopicechinococcectomy with the high-energy laser treatment of cyst, than after echinococcectomy by cyst treatment with povidone-iodine. Treatment with formalin presented the longest hospital stay (p 0.0001).

Results. Comparative analysis of patients with uncomplicated and complicated pulmonary cystic echinococosis showed a high frequency of postoperative complications associated with complicated echinococcosis (OR = 2.2, p 0.0001).

Conclusion. Despite the success of surgical treatment of pulmonary cystic echinococosis, issues of intraoperative dissemination and safety remain, and treatment success rates can be improved. These factors require further prospective multicenter studies.

Ключевые слова

pulmonary cystic echinococosis, video- assisted thorascopicechinococcectomy, bilateral echinococcosis, transmedistinal access, combined echinococcosis

Библиографические ссылки

  1. Kuzucu A, Ulutas H, Reha Celik M, Yekeler E. Hydatid cysts of the lung: lesion size in relation to clinical pre-sentation and therapeutic approach. Surg Today. Jan 2014;44(1):131-6. doi:10.1007/s00595-012-0484-2
  2. Mao R, Qi H, Pei L, et al. CT Scan-ning in Identification of Sheep Cystic Echinococcosis. Biomed Res Int. 2017;2017:4639202. doi:10.1155/2017/4639202
  3. Yaldiz D, Batihan G, Ceylan KC, Yaldiz S, Susam S. Pitfalls in the surgical treatment of undiagnosed lung le-sions and cystic pulmonary hydati-dosis. J Cardiothorac Surg. Oct 27 2022;17(1):275. doi:10.1186/s13019-022-02026-y
  4. Sarkar M, Pathania R, Jhobta A, Thakur BR, Chopra R. Cystic pul-monary hydatidosis. Lung In-dia. Mar-Apr 2016;33(2):179-91. doi:10.4103/0970-2113.177449
  5. Turkoglu E, Demirturk N, Tunay H, Akici M, Oz G, Baskin Embleton D. Evaluation of Patients with Cys-tic Echinococcosis. Turkiye Paraz-itol Derg. Mar 2017;41(1):28-33. doi:10.5152/tpd.2017.4953
  6. Gazi U, Beyhan YE, Tosun O, Karasar-tova D, Cobanoglu U, Taylan-Ozkan A. Evaluation of Th1/Th2/Th17 Bal-ance in Pulmonary Cystic Echinococ-cosis Patients. Acta Parasitol. Aug 27 2024; doi:10.1007/s11686-024-00907-x
  7. Gureser AS, Ozcan O, Ozunel L, Boya-cioglu ZI, Taylan Ozkan A. [Evaluation of the radiological, biochemical and serological parameters of patients prediagnosed as cystic echinococ-cosis in Corum, Turkey]. Mikrobi-yol Bul. Apr 2015;49(2):231-9. Co-rum'da kistik ekinokokkoz on tanisi ile basvuran hastalarin radyolojik, biyokimyasal ve serolojik analizler-inin degerlendirilmesi. doi:10.5578/mb.8656
  8. Mor N, Diken Allahverdi T, Allahverdi E, Tekdogan UY. Retrospective Eval-uation of Patients Diagnosed with Cystic Echinococcosis at Kafkas Uni-versity Faculty of Medicine's Surgi-cal Outpatients Unit. Turkiye Paraz-itol Derg. Sep 2018;42(3):196-201. doi:10.5152/tpd.2018.5137
  9. Ahmad M, Khan SA, Shah SZ, et al. Effect of size on the surgical man-agement of pulmonary hydatid cyst. J Ayub Med Coll Abbottabad. Jan-Mar 2014;26(1):42-5
  10. Tripathy S, Sasmal P, Rao PB, Mish-ra TS, Nayak S. Cetrimide-chlor-hexidine-induced multiorgan fail-ure in surgery of pulmonary hydatid cyst. Ann Card Anaesth. Jul-Sep 2016;19(3):557-60. doi:10.4103/0971-9784.185565
  11. Eichhorn ME, Hoffmann H, Diene-mann H. [Pulmonary Echinococcosis: Surgical Aspects]. Zentralbl Chir. Oct 2015;140 Suppl 1:S29-35. Pulmonale Echinokokkose: chirurgische Aspek-te. doi:10.1055/s-0035-1557808
  12. Musaev GK, Sharipov RK, Fatyanova AS, Levkin VV, Ishchenko AI, Zuyev VM. [Echinococcosis and pregnancy: approaches to the treatment]. Kh-irurgiia (Mosk). 2019;(5):38-41. Ekh-inokokkoz i beremennost': podkhody k taktike lecheniia. doi:10.17116/hirurgia201905138
  13. Parshin VD, Musaev GK, Mirzoyan OS, Berikkhanov ZG, Khetagurov M. [Giant posttraumatic diaphragmatic hernia in 17 years after rupture of the diaphragm]. Khirurgiia (Mosk). 2019;(4):56-60. Lechenie gigantskoi posttravmaticheskoi diafrag-mal'noi gryzhi cherez 17 let posle razryva grudobriushnoi pregrady. doi:10.17116/hirurgia201904156
  14. Dalal U, Dalal AK, Singal R. Con-comitant Lung and Liver Hydatid Cyst Managed as One-Stage Surgery. Maedica (Bucur). Jan 2017;12(1):19-22
  15. Aldahmashi M, Alassal M, Kasb I, Elra-khawy H. Conservative Surgical Man-agement for Pulmonary Hydatid Cyst: Analysis and Outcome of 148 Cases. Can Respir J. 2016;2016:8473070. doi:10.1155/2016/8473070
  16. Akcam AT, Saritas AG, Dalci K, Ulku A. The usefulness of drainage-in-ternal capitonnage with/without selective bile duct repair technique for liver hydatid cyst. Ann Surg Treat Res. May 2021;100(5):270-275. doi:10.4174/astr.2021.100.5.270
  17. Punia RS, Kundu R, Dalal U, Handa U, Mohan H. Pulmonary hydatido-sis in a tertiary care hospital. Lung India. May-Jun 2015;32(3):246-9. doi:10.4103/0970-2113.156241
  18. Arega G, Kebede RA, Woldeselass-ie HG, Lingerh T, Yayeh T. Bilateral Large Pulmonary Hydatid Cyst: A Rare Presentation in a Young Child from Ethiopia. Pediatric Health Med Ther. 2022;13:279-282. doi:10.2147/PHMT.S374091
  19. Anari S, Goli R, Faraji N, Rahimi K, Babamiri B, Zare F. Surgical excision for gigantic bilateral pulmonary hy-datid cyst in a 14-year-old adoles-cent: A case report study. Int J Surg Case Rep. Aug 2023;109:108548. doi:10.1016/j.ijscr.2023.108548
  20. Datta P, Sharma B, Peters NJ, Khu-rana S, Sehgal R. Bilateral Pulmo-nary Hydatid Cyst in a Young Child: A Rare Case Report from North India. J Lab Physicians. Sep 2022;14(3):348-350. doi:10.1055/s-0042-1742420
  21. Lahroussi M, Khattabi WE, Souki N, Jabri H, Afif H. [Bilateral pulmo-nary hydatid cyst]. Pan Afr Med J. 2016;24:280. Kyste hydatique pul-monaire bilateral. doi:10.11604/pamj.2016.24.280.7700
  22. Ma J, Wang X, Mamatimin X, et al. Therapeutic evaluation of video-as-sisted thoracoscopic surgery versus open thoracotomy for pediatric pul-monary hydatid disease. J Cardio-thorac Surg. Aug 5 2016;11(1):129. doi:10.1186/s13019-016-0525-9
  23. Zhou P, Yu W, Zhang W, Ma J, Xia Q, He C. Chronic obstructive pulmo-nary disease-associated expirato-ry central airway collapse: current concepts and new perspectives. Chest. Nov 21 2024; doi:10.1016/j.chest.2024.11.015

Опубликован

2024-12-31

Выпуск

№ 4 (2024)

Раздел

Статьи