[Outcomes after thoracotomy for intra-abdominal hydatid cysts ruptured into the thorax (a 160 case series)].

作者信息

Msougar Y, Lakranbi M, Bouchikh M, Ouadnouni Y, Maidi M, Fenan H, Smahi M, Achir A, Caidi M, Herrak L, Alaziz A, Benosman A

机构信息

Service de chirurgie thoracique, hôpital Ibn Sina, CHU de Rabat, Rabat, Maroc.

出版信息

Rev Mal Respir. 2010 May;27(5):417-20. doi: 10.1016/j.rmr.2010.03.012. Epub 2010 Apr 18.

DOI:10.1016/j.rmr.2010.03.012

PMID:20569873

Abstract

INTRODUCTION

The purpose of this study was to assess the results of the surgical treatment of abdominal hydatid cysts ruptured in the thorax.

PATIENTS AND METHODS

We collected data from 160 patients who experienced the intra-thoracic rupture of an abdominal hydatid cyst during the period 1997 - 2008: 158 located in the liver, one in the spleen and one in the kidney, which had been treated surgically in a single centre. Diagnosis was based on a history of surgery for abdominal hydatid cysts, specific symptoms including biliptysis (40% of the cases) and expectoration of hydatid cysts, as well as radiological findings (chest x-ray; abdominal ultrasound and CT-scan). All patients were operated on through a thoracotomy.

RESULTS

In-hospital mortality was 7.5%. Postoperative complications occurred in 16% and mainly consisted of pleural and pulmonary disorders.

CONCLUSION

Thoracotomy offers simultaneous and adequate access to address thoracic and abdominal injuries with a reasonable mortality and morbidity in patients with this condition.

摘要