Scarpulla M, Giuliana G, Scarpa G, Corsentino G, Cusumano A
Divisione di Chirurgia Toracica, Azienda Ospedaliera, Ospedali Civili Riuniti di Sciacca, AG.
Minerva Chir. 2000 Jul-Aug;55(7-8):541-4.
A case of giant hydatid cyst of the left lung submitted to conservative surgery is reported. The postoperative period was complicated by the appearance of a bronchopleural fistula and a residual cavity. The complication was treated with targeted double lumen drainage which enabled pleuroclysis with saline solution and betadine. The closure of the fistula, the elision of the cavity and recovery were accomplished after 95 days. These results demonstrate that conservative surgery is possible even in the presence of giant lung hydatid cyst. Major resections constitute an extreme measure.
报告了一例接受保守手术的左肺巨大包虫囊肿病例。术后出现支气管胸膜瘘和残余腔，使病程复杂化。该并发症采用靶向双腔引流治疗，可进行生理盐水和碘伏胸膜腔灌洗。95天后瘘管闭合、腔隙消失且患者康复。这些结果表明，即使存在巨大肺包虫囊肿，保守手术也是可行的。大范围切除术是一种极端措施。
