Research Article

Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

Volume: 70 Number: 1 November 28, 2017
Ankara Üniversitesi Tıp Fakültesi Mecmuası Cover
Ankara Üniversitesi Tıp Fakültesi Mecmuası
PDF Download

Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

Abstract

Aim: Echinococcosis is still an important health problem throughout the world, particularly in the Mediterranean area. In humans, the lungs are the second most commonly affected sites. The disease may affect children and its treatment may be challenging. In children, small hydatid cysts of the lungs respond favorably to the medical treatment. Surgery is the standard option for the treatment of large and complicated cysts. In current practice, thoracotomy and parenchyme-saving procedures such as cystostomy and capitonnage remain the standard surgical approach for pulmonary hydatid cysts in children. However, surgical experience with thoracoscopy is limited. The aim is to present the experience in thoracoscopic management of pulmonary hydatid cysts in children.

Patients and Methods: Medical records of children who underwent thoracoscopic cystostomy of pulmonary hydatid cysts between 2008- 2016 were reviewed. Surgical treatment was recommended for patients who remained symptomatic on medical treatment and when the cyst size was larger than 6 cm in diameter. Parenchyme-saving surgery was preferred which included cystostomy, removal of germinative membrane and control of air leaks. Capitonnage was not preferred because of the risk of deterioration in lung capacity.

Results: Fifteen patients underwent 16 thoracoscopy procedures for pulmonary hydatid cysts. One of the patients had bilateral complicated pulmonary hydatid cysts. There were conversions to mini-thoracotomy in 3 (20%) procedures because the air leaks could not be controlled safely. The procedure was completed thoracoscopically in 12 patients. In thoracoscopically completed cases, prolonged air leak (over a week) occurred in 3 (25%) patients and one of them underwent thoracotomy to control bronchopulmonary fistula. One of the patients underwent laparoscopic cystostomy and capitonnage for associated liver hydatid cyst. There were no recurrences during 60 months of mean follow-up time and no problem was observed during the follow-up period.

Conclusion: Thoracoscopic management is recommended in children with uncomplicated hydatid cyst. In complicated hydatid cysts, however, thoracoscopic wedge resection is recommended. If there is difficulty in controlling bronchial openings, mini-thoracotomy could be considered. 

Keywords

References

  1. 1. Cevik M, Boleken ME, Kurkcuoglu IC, et al. Pulmonary hydatid disease is difficult recognized in children. Pediatric Surgery International 2014;30:737-741.
  2. 2. Arroud M, Afifi MA, El Ghazi K, et al.Lung hydatic cysts in children: comparison study between giant and non-giant cysts. Pediatric Surgery International 2009;25:37-40.
  3. 3. Ozyurtkan MO, Balci AE. Surgical treatment of intrathoracic hydatid disease:a 5-year experience in an endemic region. Surgery today 2010;40:31-37.
  4. 4. Alpay L, Lacin T, Ocakcioglu I, et al. Is video-assisted thoracoscopic surgery adequate in treatment of pulmonary hydatidosis? The Annals of Thoracic Surgery 2015;100:258-262.
  5. 5. Arinc S, Kosif A, Ertugrul M, et al.Evaluation of pulmonary hydatid cyst cases. International Journal of Surgery 2009;7:192-195.
  6. 6. Turk F, Yuncu G, Karabulut N, et al. A single-center large-volume experience in the surgical management of hydatid disease of the lung with and without extrapulmonary involvement. World Journal of Surgery 2013;37:2306-2312.
  7. 7. Parelkar SV, Gupta RK, Shah H, et al.Experience with video-assisted thoracoscopic removal of pulmonary hydatid cysts in children. Journal of Pediatric Surgery 2009;44:836-841.
  8. 8. Kanat F, Turk E, Aribas OK. Comparison of pulmonary hydatid cysts in children and adults. ANZ Journal of Surgery 2004;74:885-889.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Publication Date

November 28, 2017

Submission Date

December 19, 2016

Acceptance Date

June 1, 2017

Published in Issue

Year 2017 Volume: 70 Number: 1

DOI

https://doi.org/10.1501/Tipfak_0000000968

IZ

https://izlik.org/JA26XW57RA

Cite

RIS / Bibtex
APA
Ateș, U., Ergün, E., Göllü, G., Yağmurlu, A., Çakmak, A. M., Dindar, H., & Bingöl Koloğlu, M. (2017). Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 70(1), 77-82. https://doi.org/10.1501/Tipfak_0000000968
AMA
1.Ateș U, Ergün E, Göllü G, et al. Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2017;70(1):77-82. doi:10.1501/Tipfak_0000000968
Chicago
Ateș, Ufuk, Ergun Ergün, Gülnur Göllü, et al. 2017. “Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 70 (1): 77-82. https://doi.org/10.1501/Tipfak_0000000968.
EndNote
Ateș U, Ergün E, Göllü G, Yağmurlu A, Çakmak AM, Dindar H, Bingöl Koloğlu M (November 1, 2017) Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası 70 1 77–82.
IEEE
[1]U. Ateș et al., “Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 70, no. 1, pp. 77–82, Nov. 2017, doi: 10.1501/Tipfak_0000000968.
ISNAD
Ateș, Ufuk - Ergün, Ergun - Göllü, Gülnur - Yağmurlu, Aydın - Çakmak, A. Murat - Dindar, Hüseyin - Bingöl Koloğlu, Meltem. “Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 70/1 (November 1, 2017): 77-82. https://doi.org/10.1501/Tipfak_0000000968.
JAMA
1.Ateș U, Ergün E, Göllü G, Yağmurlu A, Çakmak AM, Dindar H, Bingöl Koloğlu M. Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2017;70:77–82.
MLA
Ateș, Ufuk, et al. “Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 70, no. 1, Nov. 2017, pp. 77-82, doi:10.1501/Tipfak_0000000968.
Vancouver
1.Ufuk Ateș, Ergun Ergün, Gülnur Göllü, Aydın Yağmurlu, A. Murat Çakmak, Hüseyin Dindar, Meltem Bingöl Koloğlu. Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2017 Nov. 1;70(1):77-82. doi:10.1501/Tipfak_0000000968

Cited By

Uniportal-Single Incision Thoracoscopic Access for Pulmonary Hydatid Cysts

Current Respiratory Medicine Reviews

https://doi.org/10.2174/1573398X15666190508090653