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Published on: May 23, 2025
[Surgical treatment of pulmonary hydatid cysts in childhood]
E-H Kabiri1, M Kabiri, F Atoini
1Service de Chirurgie Thoracique, Hôpital Militaire d'Instruction Mohamed-V, Hay Riad 10100, Rabat, Maroc. hassankabiri@yahoo.com
Objectives:
To analyse the radioclinical forms of pulmonary hydatid cyst in children, and to evaluate the results of surgical treatment.
Patients And Methods:
During a period of 4 years (2002-2005), 26 surgical procedures were performed for pulmonary hydatid cyst in 23 children (16 boys and 7 girls, mean age 13, 5 years). Symptoms were chest pain (87%), broncho-pulmonary infection (32%) and hemoptysis (22%). Chest x-ray showed a non-complicated cyst in 62% of cases. The CT scan was performed in 15 cases (65%), mainly for complicated forms. Abdominal echography for all patients showed 3 hepatic localisations of hydatid cyst. All the patients underwent surgical treatment by thoracotomy.
Results:
In a total of 34 cysts, 21 were uncomplicated, 13 complicated (intra-bronchial rupture: 11 cases, pleural rupture: 2 cases). Cystectomy or pericystectomy were performed in 91% of cases, segmentectomy in 6% and a lobectomy in 3%. Decortication was done in the 2 pleural-ruptured cases. There was no mortality. One lower left lobe atelectasis was observed post-operatively.
Conclusion:
Conservative surgical techniques for pulmonary hydatid cysts in children are preferred to parenchyma resection. In our practice the treatment of bilateral hydatidosis in 2 times decreases the complication rate.