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The Annals of Thoracic Surgery, Vol 23, 145-151, Copyright © 1977 by The Society of Thoracic Surgeons
A Aytac, Y Yurdakul, C Ikizler, R Olga and A Saylam
One hundred patients with pulmonary hydatid disease underwent thoractomy
and operative removal of the cysts. Of the 60 men and 40 women, most were
between 3 and 19 years old. Cough, fever, dyspnea, and chest pain were the
prominent symptoms in the majority of cases. Intact hydatid cysts were
found in 67 patients and infected or ruptured cysts in 33. The Casoni skin
test, Weinberg reaction, and eosinophilia were found to be unreliable
diagnostic criteria and therefore were not used routinely in our patients.
Roentgenological examination was the most valuable diagnostic aid. A single
lobe was affected in 72 patients. Unilateral multiple foci were present in
15 patients and bilateral multiple foci in 13. Cystectomy and capitonnage
were the preferred operative procedures in most cases. Pulmonary resection
was necessary to only a limited number of patients. We conclude that
conservative surgical methods such as cystectomy (with or without
capitonnage) are preferable, especially for children, whose residual lung
parenchyma has great capacity for expansion. The mortality rate among our
100 patients was 2%; both died of cardiac arrest during operation.
ARTICLES
Pulmonary hydatid disease: report of 100 patients
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