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Evaluating Giant Hydatid Cysts: Factors Affecting Mortality and Morbidity
Mustafa Vedat Dogru1, Celal Bugra Sezen1, Cemal Aker1
1Department of Thoracic Surgery, University of Health Sciences Turkey, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.
Summary
Surgery for giant pulmonary hydatid cysts is safe, with low morbidity and mortality. Prompt surgical intervention is recommended for all patients, regardless of cyst size, to prevent complications.
Area of Science:
- Thoracic Surgery
- Parasitology
- Public Health
Background:
- Pulmonary hydatid cysts pose a significant health risk.
- Giant hydatid cysts (≥10 cm) present unique surgical challenges.
- Understanding prognostic factors is crucial for patient outcomes.
Purpose of the Study:
- To identify prognostic factors influencing morbidity and mortality in patients undergoing surgery for giant pulmonary hydatid cysts.
- To evaluate the impact of cyst size and surgical approach on patient outcomes.
Main Methods:
- Retrospective analysis of 283 patients who underwent surgery for pulmonary hydatid cyst between 2008 and 2018.
- Classification of cysts as giant (≥10 cm) or smaller.
- Comparison of outcomes between videothoracoscopic and thoracotomy approaches.
Main Results:
- Giant cysts occurred in 20.1% of patients.
- Postoperative morbidity was 10.2%, with no significant difference between surgical approaches.
- The 90-day mortality rate was low at 0.35%.
Conclusions:
- Giant pulmonary hydatid cysts are more prevalent in younger individuals.
- Early surgical intervention is advised for all pulmonary hydatid cysts, irrespective of size, to mitigate potential complications.

