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16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi

Year 2020, Volume: 47 Issue: 1, 138 - 145, 17.03.2020

Ahmet Uluşan Mehmet Alper Hengirmen Maruf Şanlı Ahmet Feridun Işık

https://doi.org/10.5798/dicletip.706104

Abstract

Amaç: Akciğer hidatik kistinin parankim koruyucu cerrahi yöntemleri ile tedavisinin hem çocuklarda hem de yetişkinlerde iyi bir tedavi seçeneği olduğu düşünülmektedir. Ancak bu dönemde yayınlanan, çok az sayıda pediatrik çalışma yapılmıştır. Amacımız, pediatrik hastalarda sonuçları gözden geçirmek ve parankim koruyucu yöntemlerin etkinliğini değerlendirmektir.
Yöntemler: Bu çalışmaya pulmoner hidatik kist nedeniyle 2008-2019 yılları arasında opere edilen, 16 yaş altı (ortalama yaşı 8.4± 3,4 yıl) olan 75 hasta dahil edildi.
Bulgular: Hastalardan akciğerin farklı bölgelerinde bulunan toplam 108 kist cerrahi olarak çıkarılmıştır. Hastaların ortalama kist boyutu 6,75±2,4 cm’dir. 12 (%16) hastada dev kist tespit edildi. Ameliyat sonrası bir hastada kanama, diğer bir hastada bronkoplevral fistül görüldü. 4 hastada nüks görülürken, mortalite görülmedi.
Sonuç: Çocukluk çağındaki akciğerin yapısal özeliklerinden dolayı dev hidatik kistlerin oranı erişkinlerden fazladır. Bu durum hidatik kist cerrahisinde lobektomi gibi radikal yaklaşımları akla getirse de parankim koruyucu yöntemlerinin etkili sonuçlar gösterdiğini ortaya koyduk.

Keywords

Çocuklar hidatik kist

References

  • 1. Metin B, Dumanlı A, Arıbaş ET. Mediastenin ve Akciğerin Paraziter Hastalıkları. Turkiye Klinikleri J Thor Surg-Special Topics 2016; 7: 46-54.
  • 2. Metin B, Arıbas OK, Dumanlı A, et al. Comparison of Pulmonary Hydatid Cysts between Men and Women. Kuwait Medical Journal 2016; 48: 312-6.
  • 3. Halezeroglu S, Celik M, Uysal A, et al. Giant hydatid cysts of the lung. J Thorac Cardiovasc Surg 1997; 113: 712-7.
  • 4. Dincer SI, Demir A, Sayar A, et al. Surgical treatment of pulmonary hydatid disease: a comparison of children and adults. J Pediatr Surg 2006; 41: 1230-6.
  • 5. Kanat F, Turk E, Aribas OK. Comparison of pulmonary hydatid cysts in children and adults. ANZ J Surg 2004; 74: 885-9.
  • 6. Erdogan A, Ayten A, Demircan A. Methods of surgical therapy in pulmonary hydatid disease: is capitonnage advantageous? ANZ J Surg 2005; 75: 992-6.
  • 7. Yalcinkaya I, Er M, Ozbay B, Ugras S. Surgical treatment of hydatid cyst of the lung: review of 30 cases. Eur Respir J 1999; 13: 441-4.
  • 8. Redel BK, Brown AN, Spate LD, et al. Glycolysis in preimplantation development is partially controlled by the Warburg Effect. Mol Reprod Dev 2012; 79: 262-71.
  • 9. Ustunsoz B, Akhan O, Kamiloglu MA, et al. Percutaneous treatment of hydatid cysts of the liver: long-term results. AJR Am J Roentgenol 1999; 172: 91-6.
  • 10. Ayles HM, Corbett EL, Taylor I, et al. A combined medical and surgical approach to hydatid disease: 12 years' experience at the Hospital for Tropical Diseases, London. Ann R Coll Surg Engl 2002; 84: 100-5.
  • 11. Zarzosa MP, Domingo AO, Gutiérrez P, et al. Evaluation of six serological tests in diagnosis and postoperative control of pulmonary hydatid disease patients. Diagnostic microbiology and infectious disease 1999; 35: 255-62.
  • 12. Babba H, Messedi A, Masmoudi S, et al. Diagnosis of human hydatidosis: comparison between imagery and six serologic techniques. Am J Trop Med Hyg. 1994; 50: 64-8.
  • 13. Turna A, Yılmaz MA, Hacıibrahimoğlu G, Kutlu CA, Bedirhan MA. Surgical treatment of pulmonary hydatid cysts: is capitonnage necessary? Ann Thorac Surg 2002; 74: 191-5.
  • 14. Topcu S, Kurul IC, Tastepe I, et al. Surgical treatment of pulmonary hydatid cysts in children. J Thorac Cardiovasc Surg 2000; 120: 1097-101.
  • 15. Kuzucu A, Soysal O, Ozgel M, Yologlu S. Complicated hydatid cysts of the lung: clinical and therapeutic issues. Ann Thorac Surg 2004; 77: 1200-4.
  • 16. Burgos R, Varela A, Castedo E, et al. Pulmonary hydatidosis: surgical treatment and follow-up of 240 cases. Eur J Cardiothorac Surg 1999; 16: 628-34.
  • 17. Arroud M, Afifi MA, El Ghazi K, Nejjari C, Bouabdallah Y. Lung hydatic cysts in children: comparison study between giant and non-giant cysts. Pediatr Surg Int 2009; 25: 37-40.
  • 18. Vasquez JC, Montesinos E, Peralta J, et al. Need for lung resection in patients with intact or ruptured hydatid cysts. Thorac Cardiovasc Surg 2009; 57: 295-302.
  • 19. Hasdiraz L, Onal O, Oguzkaya F. Bilateral staged thoracotomy for multiple lung hydatidosis. J Cardiothorac Surg 2013; 8: 121.
  • 20. Usluer O, Ceylan KC, Kaya S, Sevinc S, Gursoy S. Surgical management of pulmonary hydatid cysts: is size an important prognostic indicator? Tex Heart Inst J 2010; 37: 429-34.
  • 21. Kiral H, Evman S, Tezel C, et al. Pulmonary resection in the treatment of life-threatening hemoptysis. Ann Thorac Cardiovasc Surg 2015; 21: 125-31.
  • 22. Fındık G, Aydoğdu K, Hazer S, et al. The management of postoperative complications in childhood pulmonary hydatid cysts. Turkish J Thorac Cardiovasc Surg 2012; 20: 850-6.
  • 23. Balci AE, Eren N, Eren S, Ulku R. Ruptured hydatid cysts of the lung in children: clinical review and results of surgery. Ann Thorac Surg 2002; 74: 889-92.
  • 24. Sherratt MJ. Tissue elasticity and the ageing elastic fibre. Age 2009; 31: 305-25.
  • 25. Biava M, Dao A, Fortier B. Laboratory diagnosis of cystic hydatic disease. World journal of surgery 2001; 25: 10-4.
  • 26. Rawat S, Kumar R, Raja J, Singh RS, Thingnam SKS. Pulmonary hydatid cyst: Review of literature. J Family Med Prim Care 2019; 8: 2774-8.
  • 27. Uysal A, Gürüz Y, Köktürk O, Yüksel M, Çağırıcı U, Topçu S. Türk Toraks Derneği Paraziter Akciğer Hastalıkları Tanı ve Tedavi Uzlaşı Raporu. Turkish Thoracic Journal 2009; 10.
  • 28. Akısu Ç, Delibaş Bayram S, Yuncu G, Aksoy Ü, Özkoç S, Biçmen C. Akciğer hidatidozunun tanısında IHA, ELISA ve Western Blot testlerinin değerlendirilmesi. Tüberküloz ve Toraks Dergisi 2005; 53: 156-60.
  • 29. Anadol D, Göçmen A, Kiper N, Özçelik U. Hydatid disease in childhood: a retrospective analysis of 376 cases. Pediatric pulmonology 1998; 26: 190-6.
  • 30. Ekingen G, Tuzlacı A, Güvenç H. Thoracoscopic Surgery in The Management Of Pedatric Pulmonary Hydatid Cyst. Turk Gogus Kalp Dama 2005; 13: 062-4.
  • 31. Çelik M, Senol C, Keles M, et al. Surgical treatment of pulmonary hydatid disease in children: report of 122 cases. J Pediatr Surg 2000; 35: 1710-3.
  • 32. Erdem CZ, Erdem LO. Radiological characteristics of pulmonary hydatid disease in children: less common radiological appearances. European journal of radiology 2003; 45: 123-8.
  • 33. Şenyüz OF, Yeşildag E, Celayir S. Albendazole therapy in the treatment of hydatid liver disease. Surgery today 2001; 31: 487-91.

Year 2020, Volume: 47 Issue: 1, 138 - 145, 17.03.2020

Ahmet Uluşan Mehmet Alper Hengirmen Maruf Şanlı Ahmet Feridun Işık

https://doi.org/10.5798/dicletip.706104

Abstract

References

  • 1. Metin B, Dumanlı A, Arıbaş ET. Mediastenin ve Akciğerin Paraziter Hastalıkları. Turkiye Klinikleri J Thor Surg-Special Topics 2016; 7: 46-54.
  • 2. Metin B, Arıbas OK, Dumanlı A, et al. Comparison of Pulmonary Hydatid Cysts between Men and Women. Kuwait Medical Journal 2016; 48: 312-6.
  • 3. Halezeroglu S, Celik M, Uysal A, et al. Giant hydatid cysts of the lung. J Thorac Cardiovasc Surg 1997; 113: 712-7.
  • 4. Dincer SI, Demir A, Sayar A, et al. Surgical treatment of pulmonary hydatid disease: a comparison of children and adults. J Pediatr Surg 2006; 41: 1230-6.
  • 5. Kanat F, Turk E, Aribas OK. Comparison of pulmonary hydatid cysts in children and adults. ANZ J Surg 2004; 74: 885-9.
  • 6. Erdogan A, Ayten A, Demircan A. Methods of surgical therapy in pulmonary hydatid disease: is capitonnage advantageous? ANZ J Surg 2005; 75: 992-6.
  • 7. Yalcinkaya I, Er M, Ozbay B, Ugras S. Surgical treatment of hydatid cyst of the lung: review of 30 cases. Eur Respir J 1999; 13: 441-4.
  • 8. Redel BK, Brown AN, Spate LD, et al. Glycolysis in preimplantation development is partially controlled by the Warburg Effect. Mol Reprod Dev 2012; 79: 262-71.
  • 9. Ustunsoz B, Akhan O, Kamiloglu MA, et al. Percutaneous treatment of hydatid cysts of the liver: long-term results. AJR Am J Roentgenol 1999; 172: 91-6.
  • 10. Ayles HM, Corbett EL, Taylor I, et al. A combined medical and surgical approach to hydatid disease: 12 years' experience at the Hospital for Tropical Diseases, London. Ann R Coll Surg Engl 2002; 84: 100-5.
  • 11. Zarzosa MP, Domingo AO, Gutiérrez P, et al. Evaluation of six serological tests in diagnosis and postoperative control of pulmonary hydatid disease patients. Diagnostic microbiology and infectious disease 1999; 35: 255-62.
  • 12. Babba H, Messedi A, Masmoudi S, et al. Diagnosis of human hydatidosis: comparison between imagery and six serologic techniques. Am J Trop Med Hyg. 1994; 50: 64-8.
  • 13. Turna A, Yılmaz MA, Hacıibrahimoğlu G, Kutlu CA, Bedirhan MA. Surgical treatment of pulmonary hydatid cysts: is capitonnage necessary? Ann Thorac Surg 2002; 74: 191-5.
  • 14. Topcu S, Kurul IC, Tastepe I, et al. Surgical treatment of pulmonary hydatid cysts in children. J Thorac Cardiovasc Surg 2000; 120: 1097-101.
  • 15. Kuzucu A, Soysal O, Ozgel M, Yologlu S. Complicated hydatid cysts of the lung: clinical and therapeutic issues. Ann Thorac Surg 2004; 77: 1200-4.
  • 16. Burgos R, Varela A, Castedo E, et al. Pulmonary hydatidosis: surgical treatment and follow-up of 240 cases. Eur J Cardiothorac Surg 1999; 16: 628-34.
  • 17. Arroud M, Afifi MA, El Ghazi K, Nejjari C, Bouabdallah Y. Lung hydatic cysts in children: comparison study between giant and non-giant cysts. Pediatr Surg Int 2009; 25: 37-40.
  • 18. Vasquez JC, Montesinos E, Peralta J, et al. Need for lung resection in patients with intact or ruptured hydatid cysts. Thorac Cardiovasc Surg 2009; 57: 295-302.
  • 19. Hasdiraz L, Onal O, Oguzkaya F. Bilateral staged thoracotomy for multiple lung hydatidosis. J Cardiothorac Surg 2013; 8: 121.
  • 20. Usluer O, Ceylan KC, Kaya S, Sevinc S, Gursoy S. Surgical management of pulmonary hydatid cysts: is size an important prognostic indicator? Tex Heart Inst J 2010; 37: 429-34.
  • 21. Kiral H, Evman S, Tezel C, et al. Pulmonary resection in the treatment of life-threatening hemoptysis. Ann Thorac Cardiovasc Surg 2015; 21: 125-31.
  • 22. Fındık G, Aydoğdu K, Hazer S, et al. The management of postoperative complications in childhood pulmonary hydatid cysts. Turkish J Thorac Cardiovasc Surg 2012; 20: 850-6.
  • 23. Balci AE, Eren N, Eren S, Ulku R. Ruptured hydatid cysts of the lung in children: clinical review and results of surgery. Ann Thorac Surg 2002; 74: 889-92.
  • 24. Sherratt MJ. Tissue elasticity and the ageing elastic fibre. Age 2009; 31: 305-25.
  • 25. Biava M, Dao A, Fortier B. Laboratory diagnosis of cystic hydatic disease. World journal of surgery 2001; 25: 10-4.
  • 26. Rawat S, Kumar R, Raja J, Singh RS, Thingnam SKS. Pulmonary hydatid cyst: Review of literature. J Family Med Prim Care 2019; 8: 2774-8.
  • 27. Uysal A, Gürüz Y, Köktürk O, Yüksel M, Çağırıcı U, Topçu S. Türk Toraks Derneği Paraziter Akciğer Hastalıkları Tanı ve Tedavi Uzlaşı Raporu. Turkish Thoracic Journal 2009; 10.
  • 28. Akısu Ç, Delibaş Bayram S, Yuncu G, Aksoy Ü, Özkoç S, Biçmen C. Akciğer hidatidozunun tanısında IHA, ELISA ve Western Blot testlerinin değerlendirilmesi. Tüberküloz ve Toraks Dergisi 2005; 53: 156-60.
  • 29. Anadol D, Göçmen A, Kiper N, Özçelik U. Hydatid disease in childhood: a retrospective analysis of 376 cases. Pediatric pulmonology 1998; 26: 190-6.
  • 30. Ekingen G, Tuzlacı A, Güvenç H. Thoracoscopic Surgery in The Management Of Pedatric Pulmonary Hydatid Cyst. Turk Gogus Kalp Dama 2005; 13: 062-4.
  • 31. Çelik M, Senol C, Keles M, et al. Surgical treatment of pulmonary hydatid disease in children: report of 122 cases. J Pediatr Surg 2000; 35: 1710-3.
  • 32. Erdem CZ, Erdem LO. Radiological characteristics of pulmonary hydatid disease in children: less common radiological appearances. European journal of radiology 2003; 45: 123-8.
  • 33. Şenyüz OF, Yeşildag E, Celayir S. Albendazole therapy in the treatment of hydatid liver disease. Surgery today 2001; 31: 487-91.
There are 33 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Ahmet Uluşan This is me

Mehmet Alper Hengirmen This is me

Maruf Şanlı This is me

Ahmet Feridun Işık This is me

Publication Date March 17, 2020
Submission Date August 15, 2019
Published in Issue Year 2020 Volume: 47 Issue: 1

Cite

APA Uluşan, A., Hengirmen, M. A., Şanlı, M., Işık, A. F. (2020). 16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi. Dicle Tıp Dergisi, 47(1), 138-145. https://doi.org/10.5798/dicletip.706104
AMA Uluşan A, Hengirmen MA, Şanlı M, Işık AF. 16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi. diclemedj. March 2020;47(1):138-145. doi:10.5798/dicletip.706104
Chicago Uluşan, Ahmet, Mehmet Alper Hengirmen, Maruf Şanlı, and Ahmet Feridun Işık. “16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi”. Dicle Tıp Dergisi 47, no. 1 (March 2020): 138-45. https://doi.org/10.5798/dicletip.706104.
EndNote Uluşan A, Hengirmen MA, Şanlı M, Işık AF (March 1, 2020) 16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi. Dicle Tıp Dergisi 47 1 138–145.
IEEE A. Uluşan, M. A. Hengirmen, M. Şanlı, and A. F. Işık, “16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi”, diclemedj, vol. 47, no. 1, pp. 138–145, 2020, doi: 10.5798/dicletip.706104.
ISNAD Uluşan, Ahmet et al. “16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi”. Dicle Tıp Dergisi 47/1 (March 2020), 138-145. https://doi.org/10.5798/dicletip.706104.
JAMA Uluşan A, Hengirmen MA, Şanlı M, Işık AF. 16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi. diclemedj. 2020;47:138–145.
MLA Uluşan, Ahmet et al. “16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi”. Dicle Tıp Dergisi, vol. 47, no. 1, 2020, pp. 138-45, doi:10.5798/dicletip.706104.
Vancouver Uluşan A, Hengirmen MA, Şanlı M, Işık AF. 16 Yaş Altı Çocuklarda Akciğer Hidatik Kist Cerrahisi: Vaka Serisi. diclemedj. 2020;47(1):138-45.