Indications of Anatomical Lung Resection in the Pulmonary Hydatid Cyst: About 21 Cases - Abstract
Introduction: The pulmonary hydatid cyst in adults, presents the second localization after the liver. The basic treatment remains surgery, most often by a conservative intervention of the pulmonary parenchyma, however sometimes anatomical lung resection is indicated. The purpose of this study is to specify the main indications of this anatomical resection for this benign pathology.
Material and methods: This is a retrospective study involving 21 patients over a period of 8 years, all operated for a pulmonary hydatid cyst by ananatomical lung resection.
Results: Among 21 patients, there were 10 men and 11 women, with a mean age of 33.6 years. A contact with dogs and habitat in a rural environment was found in 13 patients (62%). Hemoptysis was reported in 14 patients (66.66%), whereas hydatid vomica was present in only 5 patients (23.8%). The imagery showed right-side in 13 patients (61.9%) and left-side in 8 patients (38.1%), with a ruptured hydatid cyst in 11 patients (52.38%) versus intact hydatid cyst in 10 patients (27.6%). Surgery was retained for all patients, and lobectomy was performed in 10 patients (47.6%), and segmentectomy in 10 patients also (47.6%), with bilobectomy in one patient. The follow-up was simple in 17 patients (80.95%), against 2 cases of postoperative pneumonia (9.52%), and 2 cases of prolonged air leakage (9.52%). Mean follow-up in this study was 2 years, with no recurrence recorded.
Conclusion: Conservative surgery presents the reference procedure in the pulmonary hydatid cyst, but anatomical resection remains the best option in some cases.