Department of Thoracic Surgery, Ataturk University, School of Medicine, Erzurum, Turkey.
Anesthesiology, Clinical Research Office, Ataturk University, School of Medicine, Erzurum, Turkey.
Interact Cardiovasc Thorac Surg. 2021 Oct 29;33(5):721-726. doi: 10.1093/icvts/ivab152.
This study investigated the effectiveness of the modified technique (Aydin Technique), which was applied for capitonnage in the surgical treatment of giant pulmonary hydatid cysts.
Twenty-two cases were operated on for giant hydatid cysts with a total of 23 modified techniques for capitonnage (bilateral giant hydatid cyst in 1 case) in our clinic between January 2018 and December 2020. The demographic data were recorded.
Thirteen out of 22 (59.1%) of cases were male and 9 (40.9%) were female. The mean age was 22.0 ± 15.8 and 14 cases (63.6%) were children. Hydatid cysts were intact in 13 (56.5%) cases and ruptured in 10 (43.5%) cases. Hydatid cyst diameters were on average 123 ± 21 mm. A modified method was performed for capitonnage in all cases while decortication was performed in 2 (8.7%) cases due to pleural thickening. Radiological atelectasis was observed in 6 cases (27.3%) postoperatively. The patients with atelectasis recovered without any clinical problem and no intervention was needed. In 1 case, an infection developed at the incision site. Postoperative prolonged air leak, empyema and mortality were not observed in any of the cases. The postoperative mean length of hospital stay was 7.18 ± 2.15 days. The mean follow-up period was 19.5 ± 11.5 months. No recurrence was encountered in the follow-up of the patients.
The results of this study may suggest to perform this new-described modified Aydin technique to avoid major capitonnage complications of the giant pulmonary hydatid cyst surgery.
本研究旨在探讨改良技术（Aydin 技术）在巨大肺包虫囊肿外科治疗中应用于囊内翻修术的效果。
2018 年 1 月至 2020 年 12 月，我院对 22 例巨大包虫囊肿患者采用改良技术（1 例双侧巨大包虫囊肿）共进行了 23 例囊内翻修术。记录患者的人口统计学数据。
22 例患者中，男性 13 例（59.1%），女性 9 例（40.9%）；平均年龄为 22.0±15.8 岁，14 例（63.6%）为儿童。13 例（56.5%）包虫囊肿完整，10 例（43.5%）包虫囊肿破裂。包虫囊肿直径平均为 123±21mm。所有患者均行改良囊内翻修术，2 例（8.7%）因胸膜增厚而行去皮质术。术后 6 例（27.3%）出现放射学肺不张。有肺不张的患者均自行恢复，无需任何临床干预，1 例患者切口部位发生感染。术后无长期气漏、脓胸和死亡病例。术后平均住院时间为 7.18±2.15 天。平均随访时间为 19.5±11.5 个月。随访期间患者均无复发。
本研究结果表明，应用新描述的改良 Aydin 技术可避免巨大肺包虫囊肿手术中囊内翻修术的主要并发症。
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