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Treatment approach in bilateral pulmonary hydatid cysts: analysis of 107 consecutive cases

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Objective

Bilateral pulmonary involvement is observed in around 14% of cases of pulmonary hydatid cysts and the treatment can be challenging. This study evaluates the clinical characteristics and treatment strategies used for cases of bilateral pulmonary hydatid cysts.

Materials and methods

A retrospective examination was conducted on 107 consecutive cases of bilateral pulmonary hydatid cysts treated in our clinic between January 2003 and December 2023.

Results

Out of the 107 cases analyzed, 57 (53.3%) were male and 50 (46.7%) were female. Surgical intervention was performed for pulmonary hydatid cysts in 92 cases (86.0%), while medical treatment was prescribed for the remaining 15 cases (14.0%). Bilateral thoracotomies were consecutively conducted in 77 cases; in 11 cases, thoracotomy was carried out on one side and contralateral hydatid cysts were treated medically. Three cases underwent sternotomy, and one underwent bilateral thoracotomy during a single session. One case experienced postoperative hemorrhage, three cases had prolonged air leakage, two cases had empyema, one case had a wound infection, and one case had a recurrence of hydatid cyst. For bilaterally operated cases, albendazole treatment commenced after the second operation and was carried out in two 15-day cycles. Patients who declined, or were not eligible for surgery, were treated with albendazole for an extended period.

Conclusions

Consecutive bilateral thoracotomy, followed by two cycles of albendazole therapy, is a highly effective treatment for patients with bilateral pulmonary hydatid cysts. In cases with widespread involvement, ruptured small cysts, or serious comorbidities, long-term medical treatment including albendazole administration may be applied.

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Data availability

Data is available from the corresponding author on a reasonable request.

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Funding

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Authors and Affiliations

  1. Medical Faculty, Department of Thoracic Surgery, Ataturk University, 25240, Erzurum, Turkey

    Yener Aydin, Ali Bilal Ulas & Atilla Eroglu

  2. Medical Faculty, Department of Biostatistics, Ataturk University, Erzurum, Turkey

    Kamber Kasali

  3. Medical Faculty, Department of Anesthesiology and Reanimation, Ataturk University, Erzurum, Turkey

    Aysenur Dostbil

  4. Medical Faculty, Department of Anesthesiology and Reanimation, Altınbas University, Istanbul, Turkey

    Ilker Ince

  5. Medical Faculty, Department of Cardiovascular Surgery, Üsküdar University, Istanbul, Turkey

    Hikmet Kocak

Authors
  1. Yener Aydin
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  2. Ali Bilal Ulas
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  3. Kamber Kasali
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  4. Aysenur Dostbil
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  5. Ilker Ince
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  6. Atilla Eroglu
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  7. Hikmet Kocak
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Contributions

Conceptualization: YA, ABU.

Study design: YA, ABU, KK, AD.

Defining the study: YA, ABU.

Project writing and management: YA, ABU.

Extensive literature search: YA, ABU, II.

Actually performing the study viz: YA, ABU.

Data acquisition: YA, ABU, AE.

Data analysis: YA, KK.

Manuscript writing and repeated editing and reviewing of the manuscript: YA, ABU, HK.

Corresponding author

Correspondence to Yener Aydin.

Ethics declarations

Ethics approval

The study protocol was approved by the Ataturk University Faculty of Medicine Human Research Ethics Committee (date: 30.06.2022, no: B.30.2.ATA.0.01.00/582).

Informed consent statement

Written informed consent was not obtained from the patients due to the retrospective design of the study and the absence of a condition indicating the identities of the patients.

Conflict of interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Statement of human and animal rights

The study has been performed in accordance with the ethical standards as laid down in the 1964 declaration of Helsinki and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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Aydin, Y., Ulas, A.B., Kasali, K. et al. Treatment approach in bilateral pulmonary hydatid cysts: analysis of 107 consecutive cases. Indian J Thorac Cardiovasc Surg (2024). https://doi.org/10.1007/s12055-024-01750-5

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  • DOI: https://doi.org/10.1007/s12055-024-01750-5

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