PURPOSE: Hydatidosis is a parasitic infestation by a tapeworm of Taenia echinococcus. This study designs to do an evaluation of 296 patients with hydatid cyst who were surgically treated in our department between January 1, 1990 and March 31, 2008.
METHODS: Out of 296 patients 277 were male and 19 were female. Patients ranged in age from 6 to 72 years (mean, 24.64 years). Most common presenting symptoms were cough, chest pain and expectoration. As surgical approach, thoracotomy in 285 patients, bilateral staged thoracotomies in 7 patients, median sternotomy in one patient with bilateral hydatid cysts, and video-assisted thoracic surgery in 3 patients were used.
RESULTS: One hundred ninety nine of the 367 intrapulmonary cystic lesions were found in the right lung and 168 in the left lung. In 15 patients intrathoracic extrapulmonary cystic lesions were detected. Also there were cystic lesions in liver in 48 patients and in left kidney in one patient. Conservative surgical procedures were performed to all patients except small wedge resection in 27 patients, segmentectomy in 5 patients, right middle lobectomy in 2 patients and upper lobectomy in 1 patient. Also decortication of pleura was performed in 3 patients with fibrothorax. There was not any operative or postoperative mortality. Albendazole treatment was given to patients who had multiple intrathoracic cysts or additional other organ cysts during last 14 years.
CONCLUSION: Surgical removal of the cysts is the principal method of treatment in hydatid cyst patients and conservative surgical approach is safe and effective in most patients.
CLINICAL IMPLICATIONS: This study is important in management of treatment at hydatid disease in countries like Turkey where hydatidosis is common.
DISCLOSURE: Turgut Isitmangil, No Financial Disclosure Information; No Product/Research Disclosure Information