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Ann Thorac Surg 1998;66:988
© 1998 The Society of Thoracic Surgeons

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Correspondence

Surgical procedure for bilateral lung and liver hydatid cysts

Nurettin Karaolanolu, MD^a, Atilla Erolu, MD^a, K. Yalçn Polat, MD^a

^a Department of Thoracic Surgery, Medical Faculty, Atatürk University, PK 121, 25000 Erzurum, Turkey

To the Editor

We were interested in the article named "One-Stage Surgical Procedure for Bilateral Lung and Liver Hydatid Cysts" by Dhaliwal and Kalkat that was published in your journal [1]. Echinococcosis is also an important problem in our country. It is well known that the treatment methods applied to patients with multiple involvements decrease the mortality and morbidity rates and the cost of treatment and make the hospitalization duration short. For this reason, it may appear that a single operation instead of three individual operations, which was introduced in the article, is a more convenient approach. In spite of this, the number of cases is insufficient to base a decision on. In addition, percutaneous needle aspiration together with ultrasonography has recently been performed successfully in liver hydatid cysts, which are unilocalized and without complications [2, 3]. In our clinics, for patients with involvement of lungs and liver, we now apply primarily surgical treatment to both lungs with median sternotomy. After the operation, within 1 month the patients apply to the general surgery clinics and their liver hydatid cysts are treated with percutaneous needle aspiration. This process has been applied in 9 cases between 1994 and 1997, and we saw no mortality, morbidity, or recurrence.

We conclude that this approach is more convenient, and the process mentioned in the article may be convenient only for selected cases.

References

1. Dhaliwal R.S., Kalkat M.S. One-stage surgical procedure for bilateral lung and liver hydatid cysts. Ann Thorac Surg 1997;64:338-341.[Abstract/Free Full Text]
2. Bret P.M., Fond L., Bretagnolle M., et al. Percutaneous aspiration and drainage of hydatid cysts in the liver. Radiology 1988;168:617-620.[Abstract/Free Full Text]
3. Mueller P.R., Dawson S.L., Ferrucci J.T., Nardi G.L. Hepatic echinococcal cyst: successful percutaneous drainage. Radiology 1985;155:627-628.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Atilla Eroglu Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Karaoglanoglu, N. Articles by Polat, K. Y. Search for Related Content PubMed PubMed Citation Articles by Karaoglanoglu, N. Articles by Polat, K. Y.