Dalal Usha, Dalal Ashwani Kumar, Singal Rikki
Department of Surgery, Government Medical College and Hospital, Sector -32, Chandigarh, Punjab, India.
Department of Surgery, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana (Distt-Ambala) Haryana, India.
Maedica (Bucur). 2017 Jan;12(1):19-22.
Over the world, hydatidosis is endemic in many countries. It is more prevalent in Turkey. We came across with concomitant hydatidosis of the lung and liver and reviewed the management.
This is a prospective study that was carried out in the Government Medical College and Hospital, sector-32, Chandigarh, India, between 2004 and 2010, in the Department of Surgery. A total of five patients diagnosed with concomitant liver and pulmonary hydatid disease underwent surgery. They were operated by thoracotomy and laparotomy in the same sitting.
Hydatid cysts located in the lungs were managed by means of cystotomy and capitonnage. For liver cysts, cystotomy and inversion of the cavity with sutures was the surgical method of choice, and a drain was left in place. Excessive biliary drainage occurred in one patient who was managed successfully.
We believe that simultaneous management of pulmonary and hepatic cysts through the thoracic route and by laparotomy is convenient and should be encouraged in patients because this approach decreased morbidity and mortality by deferring second operation. Needle aspiration can be applied only for liver cysts but it is absolutely contraindicated in lung hydatid cysts.
在全球范围内，包虫病在许多国家呈地方性流行。在土耳其更为普遍。我们遇到了肺和肝合并包虫病的病例，并对其治疗方法进行了回顾。
这是一项前瞻性研究，于2004年至2010年在印度昌迪加尔32区政府医学院及医院外科进行。共有5例被诊断为肝肺合并包虫病的患者接受了手术。他们在同一次手术中接受了开胸和开腹手术。
位于肺部的包虫囊肿通过囊肿切开术和囊腔缝合术进行处理。对于肝囊肿，囊肿切开术和用缝线翻转囊腔是首选的手术方法，并留置引流管。1例患者出现了过多的胆汁引流，但成功治愈。
我们认为，通过胸径路和开腹同时处理肺和肝囊肿是方便的，对患者应予以鼓励，因为这种方法通过推迟二次手术降低了发病率和死亡率。针吸仅适用于肝囊肿，但绝对禁忌用于肺包虫囊肿。
