Kleriene Souza
Federal University of Mato Grosso, Brazil
Title: Surgical management of lung hydatidosis a monocentricexperience: At habib bourghiba university hospital, Sfax-Tunisia
Biography
Biography: Kleriene Souza
Abstract
Hydatidosis is a parasitic disease caused by the larval form of the Taenia Echinococcus granulosus in human which is considered as the accidental intermediate host. Hydatidosis is widely seen in the Mediterranean region, South America, Australia and New Zealand. Th e liver is the most common location followed by the lung in adults.We report a monocentric experience of the surgical management of lung hydatidosis in a total period of 6 years from January 2012 to December 2017 in the department of thoracic and cardiovascular surgery in the university hospital Habib Bourguiba in Sfax, Tunisia.
Results: A total of 80 patients had surgery for lung hydatidosis with a 42,5 years average (minimum: 7 and maximum:78) and a SEX RATIO female/male = 1,16:1. In 67 cases (83,75%) were pulmonary hydatid cysts in only one lung, and the cyst was bilateral in 3 cases (5%). Th e cyst was multiple in 3 cases (3,25%). The mean location was the right lung (46.7%). Otherwise, the cyst was developed in the pleura in 3 cases (3,75%), in the mediastinum in 1 case. Cystectomy was performed in all patients. Surgery was completed by closure of bronchial fi stula in 52 cases (65%). Anatomical resection (lobectomy) was necessary only in 2 cases (2,5%). The evolution was simple in 70 cases (87,5%) and complicated in 10 cases with a total morbidity rate of 12,5%. The main complications were: fever, pneumonia, hemothorax, empyema and atelectasis. The peri operative mortalility was about 2,5%.Conservative surgical procedure (cystectomy) is the treatment of choice of lung hydatidosis specially the uncomplicated ones. This simple procedure is safe, reliable and successful. However anatomical resections should only be carried out in selected patients with specific indications.