Video-assisted thoracoscopic removal of pulmonary hydatid cysts

OBJECTIVES Pulmonary hydatid disease is a parasitic disease with a high prevalence in low-middle income countries. We report four patients who were treated surgically using video-assisted thoracoscopy (VATS). METHODS All patients were diagnosed with clinical and radiological findings on chest X-ray...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2012-12, Vol.42 (6), p.971-975
Main Authors: Alpay, Levent, Lacin, Tunc, Atinkaya, Cansel, K ral, Hakan, Demir, Mine, Baysungur, Volkan, Okur, Erdal, Yalc nkaya, Irfan
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Cardiology. Vascular system
Diseases caused by cestodes
Echinococcoses
Echinococcosis, Pulmonary - diagnostic imaging
Echinococcosis, Pulmonary - surgery
Female
Follow-Up Studies
Helminthic diseases
Humans
Infectious diseases
Length of Stay - statistics & numerical data
Male
Medical sciences
Operative Time
Parasitic diseases
Pneumology
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Thoracic Surgery, Video-Assisted - instrumentation
Thoracic Surgery, Video-Assisted - methods
Tomography, X-Ray Computed
Treatment Outcome
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Summary:OBJECTIVES Pulmonary hydatid disease is a parasitic disease with a high prevalence in low-middle income countries. We report four patients who were treated surgically using video-assisted thoracoscopy (VATS). METHODS All patients were diagnosed with clinical and radiological findings on chest X-ray and computed tomography. Complete thoracoscopic removal by cystotomy and capitonnage was done in all four patients. The procedure included a standard thoracoscopy port incision and a 2-3 cm utility skin incision that was placed just superior to the cystic lesion. In the first case, a small-sized rib separator was used. The following three cases were operated without placing a rib separator on the utility incision. Conversion to open thoracotomy was not required. RESULTS The average duration of the procedure was 90 min, and the average length of hospital stay was 4 days. No complications were observed after the thoracoscopic removal. At mean follow-up of 4 months, all patients were asymptomatic. CONCLUSIONS VATS removal of the hydatid cysts can be done successfully in peripherally located cysts.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezs338