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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
One-stage procedure for lung and liver hydatid cysts
Manucher Aghajanzadeh1, Fizolah Safarpoor, Hussein Amani
1Department of Thoracic and General Surgery, Guilan University of Medical Sciences, Razi Hospital, Rasht, Iran. maghajanzadeh2003@yahoo.com
Asian Cardiovascular & Thoracic Annals
|September 25, 2008
Summary
A single-stage surgery effectively removes combined lung and liver hydatid cysts. This safe procedure for echinococcosis has few complications, offering a viable treatment option.
Area of Science:
- Surgical Oncology
- Parasitology
- Thoracic Surgery
Background:
- Concomitant pulmonary and liver hydatid cysts affect 4%-25% of echinococcosis patients.
- Surgical management of coexisting cysts presents unique challenges.
- Evaluating single-stage operative safety is crucial for patient outcomes.
Purpose of the Study:
- To assess the safety and efficacy of a single-stage surgical approach.
- To review surgical outcomes for patients with both pulmonary and hepatic hydatid cysts.
Main Methods:
- Retrospective review of 152 patients undergoing surgery for pulmonary hydatid cysts (1992-2005).
- Focus on 30 patients with additional upper dome hepatic cysts.
- Procedure involved posterolateral thoracotomy, pulmonary cyst excision, phrenotomy, and hepatic cyst evacuation without capitonnage, using a Foley catheter.
Main Results:
- No hospital deaths occurred in the study cohort.
- Complications included empyema (2), bronchopleural fistula (1), biliary discharge (3), and hemorrhage (1).
- Two cases of hepatic hydatid cyst recurrence were noted.
Conclusions:
- A single-stage posterolateral thoracotomy is an effective and safe surgical technique.
- This approach offers a low complication rate for combined pulmonary and liver hydatid cyst extraction.
