Minimally invasive approach for pulmonary hydatid cyst

Abstract

Hydatid diseases still remain an important health problem in some countries. The primary choice of treatment has been long accepted as surgical treatment including cystectomy/cystotomy with or without capitonnage performed for every cyst. The most important principal for pulmonary hydatid surgery is to preserve as much parenchyma as possible. Anatomical resection is needed in very small fraction of patients. With parallel of improvements in minimally invasive surgery in thoracic surgery, video-assisted thoracoscopic surgical treatment has been reported to be utilized in the management of pulmonary hydatid cyst. The main advantages of minimally invasive techniques is their milder perioperative trauma and less pain as avoiding spreading the intercostal areas. That resulted in lower postsurgical pain, shorter hospital stay, fewer complications and faster recovery after the surgery, better quality of life. Minimally invasive management to the management of lung hydatid cyst including uniportal approach has been proven to be safe and effective and seems to serve better outcomes. The optimal procedures performed should be determined on an individualized basis and requires a careful preoperative evaluation.