tjcl

Turkish Journal of Clinics and Laboratory

2149-8296

DNT Ortadoğu Yayıncılık A.Ş.

10.18663/tjcl.354361

Health Care Administration

Sağlık Kurumları Yönetimi

Cerrahi olarak tedavi edilen dev ve daha küçük boyuttaki akciğer kist hidatiklerinin karşılaştırmalı analizi

A comparative analysis of giant and smaller hydatid cysts of lung treated surgically

Özpolat

Berkant

Yazkan

Rasih

Günal

Nesimi

Dural

Koray

12 15 2017

8 4 184 190 11 16 2017 11 16 2017

2010

Turkish Journal of Clinics and Laboratory

Amaç: Buçalışmanın amacı akciğerin dev kist hidatiklerinin daha küçük boydaki hidatikkistlerle karşılaştırılmasıdır.Gereç veYöntemler: Akciğer kist hidatiği nedeniyle ameliyat edilen 62hasta geriye dünük olarak değerlendirildi. Hastalar dev kist hidatik (Grup A,n=23) ve daha küçük çapta olanlar (Grup B, n=39) olmak üzere iki gruba ayrıldı.Gruplar yaş, cinsiyet, semptomlar, kist yerleşimi ve sayısı, preoperativekomplikasyonlar, uygulanan cerrahi girişim şekli, postoperative uzamış havakaçağı, göğüs tüpü alınma günü, postoperative komplikasyonlar, hastanede kalışsüresi, morbidite ve mortalite açısından karşılaştırıldı.Bulgular: Yaş,cinsiyet, kist yerleşim yeri açısından anlamlı fark saptanmadı ((P = 0.925, P =0.293, P = 0.179). Grup A’da 21 (%91) vakada kistler tek , Grup B’de vakalarınyaklaşık 1/3’ünde birden fazla kist saptandı. Kistleri tek olması anlamlıbulundu (P = 0.005). Grup A’da 13 (%56) vakada kistotomi + kapitonajyapılırken, Grup B’de 8 (%20) vakada yapılmıştı. Kistotomi + kapitonaj yöntemi Grup B’de GrupA’ya göre anlamlı olarak yüksekti. Uzamış hava kaçağı Grup A’da 8 (%20), GrupB’de 2 (%5) vakada gözlendi. Ortalama göğüs tüpü çekilme günü Grup A’da 4.57 ±2.48 gün, Grup B’de 2.49 ± 1.63 gün ve hastanede kalış süresi Grup A’da 8.48 ±3.39 gün ve Grup B’de 5.69 ± 1.80 gün olup her iki parametre istatistikselolarak anlamlıydı (P < 0.001 ve P < 0.001). Postoperatif komplikasyonlarGrup A’da iki, Grup B’de üç vakada gözlendi. Her iki grupta da mortalite yoktu.Sonuçlar: Dev akciğer kistlerinin soliter görülme ihtimalifazla, ortalama göğüs tüpü çekilme ve hastanede kalış süresi uygulananoperasyondan bağımsız olarak uzamıştır. Kapitonajlı veya kapitonajsızyöntemlerin uygulandığı her iki grupta küratif cerrahi girişimlerin sonuçlarımükemmeldir.

Aim: We aimed tocompare several features of giant hydatid cysts of the lung, with smaller cystsboth treated surgically. Material and Methods: A retrospective evaluation of 62 patients operated for hydatid cysts of lung were done. The patients were divided into twogroups whether the pulmonary cyst was giant (group A, n = 23) or smaller indiameter (group B, n = 39). The groups were compared for age, gender, clinicalsymptoms, cyst location and number, preoperative complication, type of surgicalprocedure performed, postoperative prolonged air leak, chest tube removal day,postoperative complications, duration ofhospitalization, morbidity and mortality. Results: Nosignificant difference was detected between mean age, gender and site oflocation of the cyst (P = 0.925, P = 0.293, P = 0.179). Twenty-one (91%) of thecases had solitary cyst in group A, whereas nearly 1/3 had multiple cysts ingroup B. Solitary predominance for giant hydatid cysts was significant (P =0.005). Cystotomy plus non-capitonnage method was performed in 13 (56%) casesin group A and, 8 (20%) cases in group B. The frequency of cystotomy pluscapitonnage method was significantly higher in group B compared to group A(p=0.004). Prolonged air leak was seen in 5 (22%) cases in group A and 2 (5%)cases in group B. Mean chest tube removal time was 4.57 ± 2.48 days in group Aand 2.49 ± 1.63 days in group B. Duration of hospitalization was 8.48 ± 3.39days in group A and 5.69 ± 1.80 in group B and the difference for both parameters weresignificant statistically (P < 0.001 and P < 0.001). Postoperativecomplications other than prolonged air leak were seen in two cases in group Aand three cases in group B. There was no mortality in either groups. Conclusions: The giant hydatid cysts had apredominance to be solitary and mean chest tube removal time and duration of hospitalization was prolonged independent from type of operationperformed. Conservative surgical interventions, whethercapitonnage or non-capitonnage methods were performed, had excellent outcomesin both groups.

Kist hidatik akciğer cerrahi torakotomi komplikasyon

Hydatid cyst lung surgery thoracotomy cystotomy complication

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