Abstract
BackgroundHydatid cyst is an endemic infectious disease. Various modalities have been provided to approach hydatosis. This article reports a 20-years-experience of a new minimally invasive technique for the management of solitary pulmonary hydatid cysts using video-assisted thoracoscopic surgery (VATS) with mini-thoracotomy.MethodsWe reviewed the medical records of patients who underwent unilateral or bilateral single pulmonary hydatid cyst excision using VATS with mini-thoracotomy. All patients were managed by the same surgeon over the period from January 1996 till January 2015.ResultsThe study involved 120 patients aged between 11 and 74 years (median age = 30 years). The overall number of conducted surgeries was 130 (10 patients needed two surgeries). No deaths were reported during or after surgery. No recurrences were seen in the follow-up period that ranged between 10 and 30 months. Three patients (2.3% out of the 130 surgeries) developed post-operative complications: one patient had prolonged air leak and two patients developed empyema.ConclusionVATS with mini-thoracotomy is an effective and safe option for managing intact or ruptured solitary pulmonary hydatid cysts. Further studies in controlled prospective design are needed to compare this approach to other modalities of management.
Highlights
Hydatid cyst is an endemic infectious disease
We report a series of cases of solitary pulmonary hydatid cyst managed with a new minimally invasive technique using video-assisted thoracoscopic surgery with mini-thoracotomy in order to prevent spillage and facilitate management of the residual cavity and control of the associated bronchial fistulas
We reviewed the medical records of 120 patients with unilateral or bilateral single pulmonary hydatid cyst, whether it was intact, ruptured, or infected, and those who were managed with thoracoscopic surgery by the same surgeon, who applied the exact same technique for all patients, during the period from January 1996 till January 2015
Summary
Hydatid cyst is an endemic infectious disease. This article reports a 20-years-experience of a new minimally invasive technique for the management of solitary pulmonary hydatid cysts using video-assisted thoracoscopic surgery (VATS) with mini-thoracotomy. Hydatid cyst is a parasitic infectious disease, which is endemic in many places around the world, such as the Mediterranean countries, Iran, India, Australia and South America. According to World Health Organization (WHO), the annual incidence of Cystic Echinococcus is up to 220 per 100,000 inhabitants in these countries [1]. The causal parasite of the disease is Echinococcus Granulosus. Humans can serve as intermediate hosts for this organism. It usually infects human organs separately or in groups, especially the liver and the lungs. The hydatid cyst grows slowly and asymptomatically in most
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