A 10-year experience of hydatid cysts of lung in association with other extrathoracic system involvement in a tertiary care hospital in Kolkata, India

Authors

  • Surendra Singh Yadav Assistant Professor, Department of Cardio Thoracic and Vascular Surgery; AIIMS, Bhopal, India
  • Ushnish Chakrabarty Assistant Professor, Department of Cardio Thoracic and Vascular Surgery; Medical College and Hospital, Kolkata, West Bengal, India https://orcid.org/0000-0001-7497-5685
  • Swarnendu Datta Assistant Professor, Department of Cardio Thoracic and Vascular Surgery; Medical College and Hospital, Kolkata, West Bengal, India https://orcid.org/0000-0003-3425-6023
  • Madhusudan Pal Professor, Department of Cardio Thoracic and Vascular Surgery; Medical College and Hospital, Kolkata, West Bengal, India https://orcid.org/0000-0002-7526-935X

DOI:

https://doi.org/10.3126/ajms.v13i6.43431

Keywords:

Hydatid cyst, Laparotomy, Lobectomy, Lung

Abstract

Background: The metacystode of tapeworm Echinococcus causes hydatid disease. Infection in man is mainly caused by Echinococcus granulosus. Surgical intervention to treat complicated hydatid cyst (HC) is different from uncomplicated HC.

Aims and Objectives: The present study was performed with an aim to review 82 cases of pulmonary HCs and associated HCs in other locations. We analyze and evaluate our experience in the surgical treatment and complication.

Materials and Methods: In a 10-year period, from August 1, 2005, to July 31, 2015; 82 patients were operated on in our hospital for HCs in pulmonary as well as other associated extrapulmonary locations. The diagnosis was established on the basis of clinical features and imaging studies supplemented by serological test. Surgical approach consisted of a posterolateral thoracotomy in all cases of thoracic HCs. For cysts in extrathoracic locations, either laparotomy or local excisions were performed.

Results: Radical resections [lobectomy] were done in four cases, and conservative operations in the remaining. Post-operative complications occurred in 12 cases (14.63 %). We had two recurrences, three cases of prolonged air leak with bronchopleural fistula, two had atelectasis, and five wound infections. At 6 months follow-up, 97.56% of our patients were free of any recurrence.

Conclusion: HCs of the lung are best treated with surgery. Even when associated with HCs in other locations in the body, surgery is considered the treatment of choice. When supplemented with long-term perioperative Albendazole therapy, the chance of recurrence is practically negligible.

Downloads

Download data is not yet available.
Abstract
115
PDF
113

Downloads

Published

2022-06-01

How to Cite

Surendra Singh Yadav, Ushnish Chakrabarty, Swarnendu Datta, & Madhusudan Pal. (2022). A 10-year experience of hydatid cysts of lung in association with other extrathoracic system involvement in a tertiary care hospital in Kolkata, India. Asian Journal of Medical Sciences, 13(6), 163–167. https://doi.org/10.3126/ajms.v13i6.43431

Issue

Vol. 13 No. 6 (2022)

Section

Original Articles

License

Copyright (c) 2022 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).