Surgical therapy for pulmonary hydatidosis

Area of Science:

• Thoracic Surgery
• Parasitology
• Infectious Diseases

Background:

• Pulmonary hydatidosis, caused by Echinococcus granulosus, presents a surgical challenge with varied treatment approaches globally.
• Techniques like marsupialization and capitonnage (imbrication) aim to reduce complications and hospital stay.

Purpose of the Study:

• To compare postoperative complications and hospital stay between marsupialization and imbrication for pulmonary hydatidosis.
• To evaluate the efficacy of different surgical interventions for lung hydatid cysts.

Main Methods:

• Retrospective study of 53 patients undergoing surgical treatment for pulmonary hydatidosis over 10 years.
• Surgical procedures included evacuation with chemical sterilization, marsupialization, imbrication, excision with lung parenchyma, intact cyst delivery, and lobectomy.

Main Results:

• No postoperative mortality was observed.
• No statistically significant difference in hospital stay or complication rates between marsupialized and imbricated cases.
• Anatomic resection was rarely necessary.

Conclusions:

• Both imbrication and marsupialization are equally effective surgical treatments for pulmonary hydatid cysts.
• Conservative surgical management is generally preferred over extensive lung resection.