Capitonnage results in low postoperative morbidity in the surgical treatment of pulmonary echinococcosis

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dc.contributor.authorYaldiz S.
dc.contributor.authorGursoy S.
dc.contributor.authorUcvet A.
dc.contributor.authorYaldiz D.
dc.contributor.authorKaya S.
dc.date.accessioned2024-07-22T08:19:34Z
dc.date.available2024-07-22T08:19:34Z
dc.date.issued2012
dc.description.abstractBackground: The main surgical techniques in the treatment of pulmonary echinococcosis are cystotomy alone, cystotomy and capitonnage, enucleation, and pericystectomy. Controversy persists regarding the selection of surgical technique. We reviewed our experience to identify the impact of capitonnage on outcomes. Methods: A single-institution retrospective analysis was made of the 308 consecutive patients with thoracic hydatid disease treated surgically during 17 years. Results: The most common presenting symptoms were cough and chest pain. At presentation, 69 patients (22.4%) had complicated hydatid disease, cyst rupture into bronchus in 62 and into pleural cavity in 7. Bilateral involvement occurred in 37 patients (12.0%), simultaneous hepatic cysts in 36 (11.6%), and intrathoracic extrapulmonary involvement in 14 (4.5%). Surgery consisted of cystotomy with capitonnage in 271 patients (92.2%), cystotomy and closure of bronchial openings in 20 (6.8%), and lobectomy in 3 (1.0%). Hospital mortality was zero; postoperative complications developed in 21 patients (6.8%). Conclusions: Cystotomy with capitonnage has a low complication rate. Pulmonary resection is best limited to patients with parenchymal destruction secondary to infection. © 2012 The Society of Thoracic Surgeons.
dc.identifier.DOI-ID10.1016/j.athoracsur.2011.11.011
dc.identifier.issn15526259
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/17743
dc.language.isoEnglish
dc.rightsAll Open Access; Bronze Open Access
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectChild
dc.subjectEchinococcosis, Pulmonary
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPneumonectomy
dc.subjectPostoperative Complications
dc.subjectRetrospective Studies
dc.subjectYoung Adult
dc.subjectalbendazole
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectatelectasis
dc.subjectbronchus
dc.subjectcapitonnage
dc.subjectcomorbidity
dc.subjectcontrolled study
dc.subjectcoughing
dc.subjectcyst rupture
dc.subjectcystotomy
dc.subjectfemale
dc.subjecthuman
dc.subjectliver hydatid cyst
dc.subjectlung hydatid cyst
dc.subjectlung lobectomy
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmortality
dc.subjectpleura cavity
dc.subjectpleura empyema
dc.subjectpneumonia
dc.subjectpneumothorax
dc.subjectpostoperative complication
dc.subjectpostoperative morbidity
dc.subjectpriority journal
dc.subjectretrospective study
dc.subjectsurgical technique
dc.subjectthorax pain
dc.subjecttreatment outcome
dc.subjectwound infection
dc.titleCapitonnage results in low postoperative morbidity in the surgical treatment of pulmonary echinococcosis
dc.typeArticle

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