Skip to main content
Log in

One stage surgical management of hydatid cyst of lung & liver—by right thoracotomy & phrenotomy

  • Original Articles
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Introduction

Hydatid cysts of the lung are quite frequent in our country. Some patients have additional cysts in the liver. Though most of the liver cysts remain asymptomatic for long time, but may be symptomatic with increasing size. Surgical removal is the treatment of choice for both lung & liver cysts. Aim of the study was to establish suitability of one stage surgery for pulmonary & hepatic hydatid cysts.

Methods

From 1996 through 2003 we operated on 216 pulmonary hydatid cysts, out of which 42 patients had hydatid cysts in the right lung as well as in the right lobe of liver. Right thoracotomy was done to remove the lung hydatids followed by phrenotomy to remove the liver cysts.

Results

Right thoracotomy was done in 42 patients having hydatid cysts of lung & liver. In 36 patients, cysts were removed, bronchial leaks were sutured & residual cavities were obliterated. Out of rest 6 patients, having dense adhesions or destruction of pulmonary parenchyma, 4 had segmentectomy & 2 had lobectomy. Right phrenotomy was then done with radial incision above the palpated liver cysts. Hydatid cyst was removed from liver. Cavity and remaining pericystic liver tissue was inverted with sutures. Water seal chest drain & subdiaphragmatic drain were placed. Post operative albendazole was continued for 3 months in the dose of 10–20 mg/kg with a gap of 2 weeks after each month. Post operative recovery was uneventful in most of the cases. However, air leak continued for almost 3 weeks in 4 patients & 3 months in one patient. There was no death.

Conclusion

Surgical management of pulmonary and hepatic hydatids with one stage right thoracotomy & phrenotomy is a suitable option. It avoids additional laparotomy and thereby additional cost & hospital stay. Results are quite satisfactory.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Gulam NL, Mohd AB, Noor A, Adil B, Showkat AG; Single stage bilateral minimally invasive-approach for pulmonary hydatid diseases, an alternative technique. J Thorac Cardiovasc Surg 2002; 124: 1021–24

    Article  Google Scholar 

  2. Morris DL, Richards KS, Text book of Hydatid diseases; Current Medical & Surgical Management, 1st ed., London, Butterworth-Heinamann 1992; P, 25–30.

    Google Scholar 

  3. Gossios KY, Kontoyiannis DS, Dascalogianaki M, Gourtsoyiannis NC; Uncommon location of hydatid disease. Eur J Radiol 1997; 7: 1303–08.

    Article  CAS  Google Scholar 

  4. Dhaliwal RS, Kalkat MS. One stage surgical procedure for bilateral lung and liver hydatid cysts. Ann. Thorac Surg 1997; 64: 338–41.

    Article  PubMed  CAS  Google Scholar 

  5. Halilolu M, Saatci I, Akhan O, Ozmen M, Besim A. Spectrum of imaging findings in pediatrichydatid disease. AJR Am J Roentgenol 1997; 169: 1627–31.

    Google Scholar 

  6. Topcu S, Kurul I C, Tastepe I, Bozkurt D, Gulhan E, Cetin G. Surgical treatment of pulmonary hydtid cysts in children. J. Thorac cardiovasc Surg 2000; 120: 1097–101.

    Article  PubMed  CAS  Google Scholar 

  7. Ismail C K, Salih T, Tamer A, Uklu Y, Irfan T, Sadi K, Guven C. One stage operation for hydatid disease of lung and liver: principles of treatment. J. Thorac Cardiovasc Surg 2002; 124: 1212–15.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Biswas, B., Ghosh, D., Bhattacharjee, R. et al. One stage surgical management of hydatid cyst of lung & liver—by right thoracotomy & phrenotomy. Indian J Thorac Cardiovasc Surg 20, 88–90 (2004). https://doi.org/10.1007/s12055-004-0048-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-004-0048-1

Key words

Navigation