Treatment of pulmonary hydatid cysts: a single-centre analysis of 872 cases

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dc.contributor.authorAydın, Yener
dc.contributor.authorUlaş, Ali Bilal
dc.contributor.authorKaşali, Kamber
dc.contributor.authorEren, Suat
dc.contributor.authorDostbil, Ayşenur
dc.contributor.authorEroğlu, Atilla
dc.date.accessioned2025-07-28T06:25:04Z
dc.date.available2025-07-28T06:25:04Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi
dc.descriptionArticle number : ezaf114
dc.description.abstractOBJECTIVES: The objective of this study was to investigate the importance of pulmonary parenchyma preservation, the results of cystotomy and the capitonnage technique and the efficacy of postoperative albendazole treatment. METHODS: A retrospective study was conducted at a single centre between 2000 and 2024, encompassing 872 consecutive patients with pulmonary hydatid cysts. RESULTS: Of the cases studied, 394 (45.2%) were female and 478 (54.8%) were male, with a mean age of 26.8 ± 19.7 years (range: 2–86 years). Isolated lung involvement was observed in 553 (63.4%) cases. In general, a single hydatid cyst was detected in 665 (76.3%) patients, and 466 (53.4%) of these had isolated lung involvement. In 452 cases (51.8%), only the right lung was affected, whereas 294 (33.7%) had left lung involvement, and 126 (14.5%) had bilateral lung involvement. An operation was performed in 807 (92.5%) cases. Cystotomy and capitonnage were performed in 782 (89.7%) patients. Thoracoscopic wedge resection was performed in 13 cases (1.5%), cystotomy alone in 5 cases (0.6%), lobectomy in 5 cases (0.6%) and enucleation with capitonnage in 2 cases (0.2%). Postoperative complications included atelectasis in 45 cases (5.6%), prolonged air leak in 8 cases (1.0%), empyema in 6 cases (0.7%), wound infection in 3 cases (0.4%) and bleeding in 2 cases (0.2%). Recurrence was observed in 4 (0.5%) surgically treated cases, and 1 case (0.1%) resulted in death in the postoperative period. CONCLUSIONS: The management of pulmonary hydatid cysts with cystotomy and capitonnage is feasible in the majority of patients and results in acceptable success and complication rates. Administration of albendazole postoperatively has been shown to be an effective method of preventing recurrence.
dc.identifier.citationAydın, Y., Ulaş, A. B., Kaşalı, K., Eren, S., Dostbil, A., & Eroğlu, A. (2025). Treatment of pulmonary hydatid cysts: a single-centre analysis of 872 cases. European Journal of Cardio-Thoracic Surgery, 67(4), ezaf114. 10.1093/ejcts/ezaf114
dc.identifier.doi10.1093/ejcts/ezaf114
dc.identifier.issn1010-7940
dc.identifier.issn1873-734X
dc.identifier.issue4
dc.identifier.pmid40156127
dc.identifier.scopus2-s2.0-105002597409
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5798
dc.identifier.volume67
dc.identifier.wosWOS:001464686300001
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.institutionauthorDostbil, Ayşenur
dc.language.isoen
dc.publisherOxford University Press
dc.relation.ispartofEuropean Journal of Cardio-thoracic Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAlbendazole
dc.subjectCystotomy and capitonnage
dc.subjectHydatid cyst
dc.subjectLung
dc.subjectSurgery
dc.titleTreatment of pulmonary hydatid cysts: a single-centre analysis of 872 cases
dc.typeArticle

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