Treatment approach in bilateral pulmonary hydatid cysts: analysis of 107 consecutive cases

dc.contributor.authorAydın, Yener
dc.contributor.authorUlaş, Ali Bilal
dc.contributor.authorKaşali, Kamber
dc.contributor.authorDostbil, Ayşenur
dc.contributor.authorİnce, İlker
dc.date.accessioned2024-05-31T08:03:14Z
dc.date.available2024-05-31T08:03:14Z
dc.date.issued2024en_US
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: Bilateral pulmonary involvement is observed in around 14% of cases of pulmonary hydatid cysts and the treatment can be challenging. This study evaluates the clinical characteristics and treatment strategies used for cases of bilateral pulmonary hydatid cysts. Materials and methods: A retrospective examination was conducted on 107 consecutive cases of bilateral pulmonary hydatid cysts treated in our clinic between January 2003 and December 2023. Results: Out of the 107 cases analyzed, 57 (53.3%) were male and 50 (46.7%) were female. Surgical intervention was performed for pulmonary hydatid cysts in 92 cases (86.0%), while medical treatment was prescribed for the remaining 15 cases (14.0%). Bilateral thoracotomies were consecutively conducted in 77 cases; in 11 cases, thoracotomy was carried out on one side and contralateral hydatid cysts were treated medically. Three cases underwent sternotomy, and one underwent bilateral thoracotomy during a single session. One case experienced postoperative hemorrhage, three cases had prolonged air leakage, two cases had empyema, one case had a wound infection, and one case had a recurrence of hydatid cyst. For bilaterally operated cases, albendazole treatment commenced after the second operation and was carried out in two 15-day cycles. Patients who declined, or were not eligible for surgery, were treated with albendazole for an extended period. Conclusions: Consecutive bilateral thoracotomy, followed by two cycles of albendazole therapy, is a highly effective treatment for patients with bilateral pulmonary hydatid cysts. In cases with widespread involvement, ruptured small cysts, or serious comorbidities, long-term medical treatment including albendazole administration may be applied.en_US
dc.identifier.citationAydın, Y., Ulaş, A. B., Kaşali, K., Dostbil, A., İnce, İ., Eroğlu, A., Koçak, H. (2024). Treatment approach in bilateral pulmonary hydatid cysts: analysis of 107 consecutive cases. Indian Journal of Thoracic and Cardiovascular Surgery, 40(6), 669-674. 10.1007/s12055-024-01750-5en_US
dc.identifier.endpage674en_US
dc.identifier.issn0970-9134
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-85193461513
dc.identifier.scopusqualityQ3
dc.identifier.startpage669en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12939/4720
dc.identifier.volume40en_US
dc.identifier.wosWOS:001228200700002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorİnce, İlker
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofIndian Journal of Thoracic and Cardiovascular Surgery
dc.relation.isversionof10.1007/s12055-024-01750-5en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAlbendazoleen_US
dc.subjectBilateral pulmonary involvementen_US
dc.subjectHydatid cysten_US
dc.subjectSternotomyen_US
dc.subjectThoracotomyen_US
dc.titleTreatment approach in bilateral pulmonary hydatid cysts: analysis of 107 consecutive cases
dc.typeArticle

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