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Published on: August 22, 2012
Pre-school children with hydatid lung disease
1Department of Thoracic Surgery, Ataturk University, Medical Faculty, Erzurum, Turkey. dryeneraydin@hotmail.com
Insights
Surgery is the definitive treatment for pediatric lung hydatid cysts. Eliminating transmission routes is crucial for preventing adverse effects and recurrence of this parasitic disease.
Area of Science:
- Pediatric Surgery
- Parasitology
- Public Health
Background:
- Hydatid cyst disease is a significant health concern in developing nations, frequently affecting children's lungs.
- Lung involvement is common in pediatric cases of hydatid cyst disease.
Purpose of the Study:
- To present cases of lung hydatid cysts in pre-school children treated surgically.
- To analyze surgical outcomes and patient demographics for pediatric lung hydatid cysts.
Main Methods:
- Retrospective investigation of 42 pre-school patients with diagnosed and surgically treated lung hydatid cysts.
- Data collected between January 1998 and December 2011.
Main Results:
- The average age of patients was 5.2 years; cough was the most common symptom (74%).
- Cysts were primarily unilateral (28 cases), with locations including lungs and liver.
- No postoperative mortality was observed; average hospital stay was 7.2 days.
Conclusions:
- Surgical intervention is the definitive treatment for lung hydatid cysts in children.
- Preventing transmission routes is essential to mitigate complications associated with thoracotomy.
Background:
Hydatid cyst disease is a major health problem in developing countries and it usually settles in the lungs in children. This study aimed to present pre-school children with lung hydatid cysts cases that underwent surgical treatment.
Methods:
The authors retrospectively investigated 42 consecutive pre-school patients who were diagnosed and surgical treated for hydatid cysts in their clinic between January 1998 and December 2011.
Results:
Seventeen (40.5%) patients were female and 25 (59.5%) patients were male. The average age of the patients was 5.2 +/- 1.3 (between 2-7 years). The most common symptoms were cough (74%), chest pain (26.2%), and fever (26.2%). Twenty-eight cases had cysts in only one lung; in five cases, the cysts were in a single lung and the liver, in six cases, in bilateral lungs and liver, and in three cases, in bilateral lungs. The average cyst diameter was 6.2 +/- 2.4 (2-12) cm. In five cases, there were combined interventions to the right lung and liver cysts with a transdiaphragmatic approach. Nine patients with bilateral hydatid cysts underwent operations. Muscle protector thoracotomies were performed in eight cases. Cystotomy and capitonnage were applied to all lung cysts. One patient underwent a bronchoscopy for postoperative atelectasis. In one case, postoperative fever was observed. There was no postoperative mortality. Postoperative average hospital stay was 7.2 +/- 2.1 (3-13) days.
Conclusion:
Surgery is the definitive treatment for lung hydatid cysts. The most important way to protect against the adverse effects of a thoracotomy is to eliminate the routes of transmission.
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