Bilateral Akciğer Kisti Hidatik Hastalığının Cerrahi Yönetimi ve Tedavi Yaklaşımları: Tek Merkezli Retrospektif Çalışma

Yıl 2025, Cilt: 35 Sayı: 4, 673 - 680, 29.08.2025

Esra Yamansavci Sirzai , Serkan Yazgan , Ahmet Nurdağ , Yunus Türk , Celal Buğra Sezen , Ahmet Üçvet

https://doi.org/10.54005/geneltip.1683431

Öz

Giriş: Bu çalışmanın amacı, kliniğimizde bilateral akciğer kist hidatiğinde cerrahi müdahale geçiren hastaların yönetimini ve tedavi yaklaşımlarını incelemektir.
Yöntemler: Ocak 2008 ile Şubat 2023 arasında pulmoner hidatid kistleri için cerrahi müdahale geçiren toplam 175 hasta retrospektif olarak analiz edildi. 16 hastada (%9.14) bilateral pulmoner hidatid kistleri tespit edildi ve bilateral cerrahi tedavi uygulanan 12 hasta çalışmaya dahil edildi.
Bulgular: Hastaların ortalama yaşı 36.7 ± 18.0 yıl (aralık 15-65) olup, cinsiyet dağılımı eşit idi. Bir hasta aynı anda bilateral torakotomi uygulandı, diğerleri için ardışık torakotomi uygulandı. 12 hasta üzerinden toplam 36 pulmoner hidatid kisti çıkarıldı ve 23 cerrahi seans gerçekleştirildi. Kistlerin ortalama çapı 4.7±1.42 cm olup, çoğunlukla alt lobda (% 56) yer aldı. Kontralateral cerrahi ortalama 3.81 ay sonra uygulandı. İkinci operasyondan sonra, günde 10 mg/kg dozunda albendazol tedavisine başlandı. Cerrahi mortalite kaydedilmedi. Ortalama takip süresi 26.6 aydır.
Sonuç: Bu çalışma, bilateral akciğer kist hidatiğinde cerrahi planlama için gerekli kriterlerin gözden geçirilmesini vurgulamaktadır. Elde edilen verilere göre, sayıca çok, boyut olarak büyük ve patlamamış kistlerin olduğu taraftan cerrahi tedaviye başlamak, potansiyel cerrahi komplikasyon riskini en aza indirmeye yardımcı olabilir.

Anahtar Kelimeler

Hidatik kist , Akciğer Cerrahi Tedavisi , Sonuçlar

Surgical Management and Treatment Approaches of Bilateral Lung Cyst Hydatid Disease: A Single Center Retrospective Study

Öz

Background: This study aimed to review the management and treatment approaches for patients who underwent surgery for bilateral pulmonary hydatid cysts in our clinic.
Methods: A total of 175 patients who underwent surgery for pulmonary hydatid cysts between January 2008 and February 2023 were retrospectively analyzed. Bilateral pulmonary hydatid cysts were detected in 16 patients (9.14%), and 12 patients who underwent bilateral surgical treatment were included in the study.
Results: The average age of the patients was 36.7 ± 18.0 years (ranging from 15 to 65 years), with an equal number of males and females. One patient underwent simultaneous bilateral thoracotomy, while the others received sequential thoracotomy for surgical treatment. A total of 36 pulmonary hydatid cysts were removed across 23 surgical sessions involving 12 patients. The cysts had an average diameter of 4.7±1.42 cm and were predominantly located in the lower lobes (56%). The contralateral side was operated on an average of 3.81 months after the intervention on one hemithorax. After the second operation, albendazole treatment at a dosage of 10 mg/kg/day was initiated. No operative mortality was recorded, and the average follow-up duration was 26.6 months.
Conclusion: This study emphasizes the importance of reviewing the necessary criteria for successful surgical planning in cases of hydatid cysts in bilateral lungs. According to the data obtained, prioritizing numerous, larger, and intact cysts can help minimize the risk of potential operative complications.

Anahtar Kelimeler

Hydatid cyst , Pulmonary Surgical Treatment , Outcomes

Kaynakça

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