Kocaman Osman Hakan, Günendi Tansel, Dere Osman, Dörterler Mustafa Erman, Boleken Mehmet E
Pediatric Surgery, Harran University Faculty of Medicine, Şanlıurfa, TUR.
Radiology, Harran University Faculty of Medicine, Şanlıurfa, TUR.
Cureus. 2022 Jul 8;14(7):e26670. doi: 10.7759/cureus.26670. eCollection 2022 Jul.
Hydatid cysts can occur in any place such as the liver, lung, spleen, kidney, brain, and soft tissue. Pulmonary hydatid cysts are more prone to rupture than liver hydatid cysts. In this study, we aimed to present the demographic characteristics, clinical symptoms, radiological findings, surgical findings, type of surgery performed, and postoperative complications of patients with pulmonary hydatid cysts.
The files of 94 patients who were operated on for pulmonary hydatid cysts in our clinic between January 2011 and October 2021 were retrospectively analyzed. The patients were divided into two groups: ruptured pulmonary hydatid cysts and non-ruptured pulmonary hydatid cysts.
A total of 120 pulmonary hydatid cysts were detected in 94 patients who were operated on for pulmonary hydatid cysts. Cyst rupture was detected in 63 (52.5%) patients. Rupture was found significantly higher in cysts with a diameter of <10 cm (p=0.005). Complaints of fever and hemoptysis were found significantly higher in the ruptured group. Pneumothorax was detected in six patients after the operation with an average of two months, one of which was the patient who underwent video-assisted thoracoscopy (VATS).
Pulmonary hydatid cyst should be kept in mind in children presenting with lower respiratory tract symptoms in regions where echinococcosis is endemic. Parenchyma-sparing methods should be the first choice in the management of pulmonary hydatid cysts. Patients who develop early postoperative complications should also be followed closely for late impediments.
包虫囊肿可发生于肝脏、肺、脾脏、肾脏、脑及软组织等任何部位。肺包虫囊肿比肝包虫囊肿更容易破裂。在本研究中，我们旨在呈现肺包虫囊肿患者的人口统计学特征、临床症状、影像学表现、手术所见、所施行的手术类型及术后并发症。
回顾性分析2011年1月至2021年10月期间在我院接受肺包虫囊肿手术的94例患者的病历资料。将患者分为两组：破裂性肺包虫囊肿组和非破裂性肺包虫囊肿组。
在94例接受肺包虫囊肿手术的患者中共检测到120个肺包虫囊肿。63例（52.5%）患者检测到囊肿破裂。直径<10 cm的囊肿破裂率明显更高（p=0.005）。破裂组发热和咯血主诉明显更多。术后平均两个月有6例患者检测到气胸，其中1例为接受电视辅助胸腔镜手术（VATS）的患者。
在棘球蚴病流行地区，出现下呼吸道症状的儿童应考虑肺包虫囊肿。在肺包虫囊肿的治疗中，保留实质的方法应作为首选。术后早期出现并发症的患者也应密切随访有无晚期障碍。
