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| IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711 |
Int J Clin Exp Med 2012;5(1):64-71
Original Article
Our eight-year surgical experience in patients with pulmonary cyst hydatid
Fuat Sayir, Ufuk Çobanoğlu, Abidin Şehitoğulları, Salim Bilici
Department of Thoracic Surgery, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey; Department of Thoracic Surgery, Faculty of
Medicine, Training and Education Hospital, Van, Turkey; Department of Pediatric Surgery, Faculty of Medicine, Yuzuncu Yil University,
Van, Turkey
Received November 5, 2011; accepted January 3, 2012; Epub January 15, 2012; Published January 31, 2012
Abstract: Background: In this clinical retrospective study, we aimed to investigate our experinces and whether capitonnage is an
effective therapy method for a pulmonary hydatid cyst or not. Material and methods: A total of 412 patients with hydatid cyst operated in
our hospitals were evaluated retrospectively between January 2003 and January 2011. In order to create a study group to compare the
hydatid cyst operations with and without capitonnage in our department, 60 uncomplicated patients with the diagnosis of hydatid cyst
who had undergone operations in the previous two years, were divided into two groups; while no capitonnage was performed and
bronchial leaks were closed in one group, standard cystotomy plus the capitonnage operation was performed in the second group. All
patients underwent surgery. Results: In many patients, one or more symptoms were present on admission (339 cases, 82%).
Perforated cysts/ nonperfore cysts rate was statistically significant (p = 0.001). There was no statistical difference between patients with
or without capitonnage in terms of morbidity rates between patients with or without capitonnage (p = 0.041). However, morbidity rates
were higher in the group without capitonnage. There were found statistically significant between capitonnage and non capitonnage
groups in terms of length of hospital stay (p=0.001). Conclusions: In the surgical treatment, resection should be avoided as much as
possible. An average time of 3-5 minutes should be allocated and capitonnage should be performed. Capitonnage should always be
performed in the surgical treatment of hydatid cyst. We believe that povidone iodine per se provides sufficient disinfection.
(IJCEM1109006).
Keywords: Cyst, thoracotomy, capitonnage, albendazole
Address all correspondence to:
Dr. Fuat Sayır
Department of Thoracic Surgery
Faculty of Medicine, Yüzüncü Yıl University
65100 Van, Turkey.
Tel: 90 432 2150470/6231; Fax: 904322167519
E-mail: sayirfuat@yahoo.com
Original Article
Our eight-year surgical experience in patients with pulmonary cyst hydatid
Fuat Sayir, Ufuk Çobanoğlu, Abidin Şehitoğulları, Salim Bilici
Department of Thoracic Surgery, Faculty of Medicine, Yuzuncu Yil University, Van, Turkey; Department of Thoracic Surgery, Faculty of
Medicine, Training and Education Hospital, Van, Turkey; Department of Pediatric Surgery, Faculty of Medicine, Yuzuncu Yil University,
Van, Turkey
Received November 5, 2011; accepted January 3, 2012; Epub January 15, 2012; Published January 31, 2012
Abstract: Background: In this clinical retrospective study, we aimed to investigate our experinces and whether capitonnage is an
effective therapy method for a pulmonary hydatid cyst or not. Material and methods: A total of 412 patients with hydatid cyst operated in
our hospitals were evaluated retrospectively between January 2003 and January 2011. In order to create a study group to compare the
hydatid cyst operations with and without capitonnage in our department, 60 uncomplicated patients with the diagnosis of hydatid cyst
who had undergone operations in the previous two years, were divided into two groups; while no capitonnage was performed and
bronchial leaks were closed in one group, standard cystotomy plus the capitonnage operation was performed in the second group. All
patients underwent surgery. Results: In many patients, one or more symptoms were present on admission (339 cases, 82%).
Perforated cysts/ nonperfore cysts rate was statistically significant (p = 0.001). There was no statistical difference between patients with
or without capitonnage in terms of morbidity rates between patients with or without capitonnage (p = 0.041). However, morbidity rates
were higher in the group without capitonnage. There were found statistically significant between capitonnage and non capitonnage
groups in terms of length of hospital stay (p=0.001). Conclusions: In the surgical treatment, resection should be avoided as much as
possible. An average time of 3-5 minutes should be allocated and capitonnage should be performed. Capitonnage should always be
performed in the surgical treatment of hydatid cyst. We believe that povidone iodine per se provides sufficient disinfection.
(IJCEM1109006).
Keywords: Cyst, thoracotomy, capitonnage, albendazole
Address all correspondence to:
Dr. Fuat Sayır
Department of Thoracic Surgery
Faculty of Medicine, Yüzüncü Yıl University
65100 Van, Turkey.
Tel: 90 432 2150470/6231; Fax: 904322167519
E-mail: sayirfuat@yahoo.com
