Abbas Nizar, Zaher Addeen Sarah, Abbas Fatima, Al Saadi Tareq, Hanafi Ibrahem, Alkhatib Mahmoud, Turk Tarek, Al Khaddour Ahmad
Department of thoracic surgery, Al-Assad University Hospital, Damascus, Syrian Arab Republic.
Faculty of Medicine, University of Damascus, Damascus, Syrian Arab Republic.
J Cardiothorac Surg. 2018 May 2;13(1):35. doi: 10.1186/s13019-018-0716-7.
Hydatid cyst is an endemic infectious disease. Various modalities have been provided to approach hydatosis. This article reports a 20-years-experience of a new minimally invasive technique for the management of solitary pulmonary hydatid cysts using video-assisted thoracoscopic surgery (VATS) with mini-thoracotomy.
We reviewed the medical records of patients who underwent unilateral or bilateral single pulmonary hydatid cyst excision using VATS with mini-thoracotomy. All patients were managed by the same surgeon over the period from January 1996 till January 2015.
The study involved 120 patients aged between 11 and 74 years (median age = 30 years). The overall number of conducted surgeries was 130 (10 patients needed two surgeries). No deaths were reported during or after surgery. No recurrences were seen in the follow-up period that ranged between 10 and 30 months. Three patients (2.3% out of the 130 surgeries) developed post-operative complications: one patient had prolonged air leak and two patients developed empyema.
VATS with mini-thoracotomy is an effective and safe option for managing intact or ruptured solitary pulmonary hydatid cysts. Further studies in controlled prospective design are needed to compare this approach to other modalities of management.
包虫囊肿是一种地方性传染病。已经提供了多种方法来治疗包虫病。本文报告了一种新的微创技术20年的应用经验，该技术采用胸腔镜辅助小切口手术（VATS）治疗孤立性肺包虫囊肿。
我们回顾了采用VATS辅助小切口手术进行单侧或双侧单个肺包虫囊肿切除患者的病历。在1996年1月至2015年1月期间，所有患者均由同一位外科医生进行治疗。
该研究纳入了120例年龄在11岁至74岁之间（中位年龄 = 30岁）的患者。总共进行了130例手术（10例患者需要进行两次手术）。手术期间及术后均未报告死亡病例。在10至30个月的随访期内未见复发。3例患者（占130例手术的2.3%）出现术后并发症：1例患者气胸持续时间延长，2例患者发生脓胸。
胸腔镜辅助小切口手术是治疗完整或破裂的孤立性肺包虫囊肿的一种有效且安全的选择。需要进行进一步的对照前瞻性研究，以将该方法与其他治疗方式进行比较。
