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Canadian Respiratory Journal
Volume 2016, Article ID 8473070, 6 pages
http://dx.doi.org/10.1155/2016/8473070
Research Article

Conservative Surgical Management for Pulmonary Hydatid Cyst: Analysis and Outcome of 148 Cases

1Cardiothoracic Surgery Department, Thamar University, Thamar, Yemen
2Prince Abdullah Bin Abdulaziz Bin Musaed Cardiac Center (PAAMCC), Arar, Saudi Arabia
3Cardiothoracic Surgery Department, Benha University, Benha, Egypt
4King Salman Heart Center (KSHC), King Fahd Medical City (KFMC), Riyadh, Saudi Arabia
5Nasser Institute for Research, Cairo, Egypt

Received 28 February 2016; Revised 10 July 2016; Accepted 25 July 2016

Academic Editor: Hisao Imai

Copyright © 2016 Mohammed Aldahmashi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Hydatid cyst (HC) disease is endemic in many developing countries, like Yemen, Egypt, and Saudi Arabia, especially in the rural regions. The disease has a variable clinical courses and even might be asymptomatic for many years. Objectives. In giant and large pulmonary hydatid cysts, pulmonary resection is the usual method of surgical treatment. In this study, we aimed to evaluate the lung conservative surgery in treatment of cases with giant and large hydatid lung cysts, as an effective method of management. Patients and Methods. Between January 2009 and August 2014, a total of 148 patients with pulmonary hydatid cysts were operated and their data was reviewed retrospectively and analyzed. Out of these cases, 52 (35.14%) cysts with more than 10 cm in diameter and 36 (24.32%) cysts with 5–9 cm were regarded as giant and large hydatid lung cysts, respectively. The small cysts less than 5 cm were presented in 8 (5.4%) cases only; other cases had ruptured cysts. Preservation of the lung tissues during surgery by cystotomy and Capitonnage was our conservative surgical methods of choice. Results. Eight patients developed bronchopleural fistula (BPF); of them, 4 BPFs have healed with chest tube and physiotherapy, but in the other 4 patients reoperation was done for the closure of persistent BPF. No mortality was observed in the present study. Conclusion. We conclude that conservative surgical procedure can achieve complete removal of the pulmonary hydatid cyst. Enucleation of the intact huge cysts is safe. Careful and secured closure of the bronchial communication should be done by purse string or figure-of-8 sutures, with or without Teflon pledgets. These simple procedures are safe, reliable, and successful.