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Surgical treatment of pulmonary hydatid cysts in children
1Emergency and Trauma Hospital and the Department of Thoracic Surgery, Ankara University Medical School, Ankara, Turkey.
Insights
Pediatric pulmonary hydatid cysts were successfully treated using cystotomy and capitonnage or cystotomy alone. This surgical approach demonstrated no operative mortality and minimal recurrence in children.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Parasitology
Background:
- Pulmonary hydatid cysts are parasitic infections affecting the lungs.
- Pediatric cases require specific surgical considerations.
Purpose of the Study:
- To analyze surgical outcomes for pediatric pulmonary hydatid cysts.
- Evaluate the efficacy of different surgical techniques.
Main Methods:
- Retrospective analysis of 33 pediatric patients (ages 2-15) operated between 1990-2000.
- Surgical procedures included cystotomy with capitonnage, cystotomy alone, or wedge resection.
- No scoliocidal agents were used.
Main Results:
- 23 patients had solitary cysts, 10 had multiple cysts.
- Cystotomy and capitonnage performed in 25 patients; cystotomy in 6; wedge resection in 2.
- No operative mortality was observed.
- One case of recurrence was noted post-operation.
Conclusions:
- Cystotomy and capitonnage, or cystotomy alone, are effective treatments for pediatric pulmonary hydatid cysts.
- These methods offer successful outcomes with low recurrence rates.
Purpose:
Ten years' experience is analyzed in pediatric patients with pulmonary hydatid cysts.
Methods:
Between 1990 and 2000, 33 pediatric patients (2 to 15 years of age) with pulmonary hydatid cysts were operated on in Department of Thoracic Surgery in Ankara University School of Medicine. There were 17 girls and 16 boys.
Results:
Twenty-three cases presented as a solitary lung cyst, whereas the remaining 10 were found to have multiple cysts in one or both lungs. Cystotomy and capitonnage were performed in 25 patients, cystotomy was done in 6 patients, and only 2 patients underwent the wedge resection. The authors used no scoliocidal agent in our approach. There was no operative mortality. Recurrence after operation was seen in one patient.
Conclusion:
Pulmonary hydatid cysts in children can be treated successfully by cystotomy and capitonnage or only cystotomy. J Pediatr Surg 36:917-920.