Hydatid cysts of the lung: lesion size in relation to clinical presentation and therapeutic approach
Purposes The aim of this study was to assess the relationship between the pulmonary hydatid cyst size and the clinical presentation, surgical approach, and postoperative outcome. We review the problems encountered in treating large pulmonary hydatid cysts and highlight the risks associated with the...
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| Veröffentlicht in: | Surgery today (Tokyo, Japan) Japan), 2014-01, Vol.44 (1), p.131-136 |
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| creator | Kuzucu, Akin Ulutas, Hakki Reha Celik, M. Yekeler, Erdal |
| description | Purposes
The aim of this study was to assess the relationship between the pulmonary hydatid cyst size and the clinical presentation, surgical approach, and postoperative outcome. We review the problems encountered in treating large pulmonary hydatid cysts and highlight the risks associated with the rupture of the cyst and a delay of the surgical treatment.
Methods
The medical records of 169 patients surgically treated for lung hydatid cysts were reviewed. Patients were divided into two groups based on cyst size: group 1 (
n
= 128) with small ( |
| doi_str_mv | 10.1007/s00595-012-0484-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1490748218</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1490748218</sourcerecordid><originalsourceid>FETCH-LOGICAL-c434t-264fb89f37c756c0d528361763e9b15aa3b517d56b05345a2b29504f69b8b0403</originalsourceid><addsrcrecordid>eNp9kLtOwzAUhi0EoqXwACzII0vg-JYLG6q4SZVYYLYcx2ldpU6wnaE8Pa5SGJmO5PP9_5E_hK4J3BGA4j4AiEpkQGgGvOQZPUFzwlme0ZKwUzSHipOM0IrM0EUIWwDKS4BzNKOMMV5AMUfN675R0TZY70MMuG9x3BjcjW79gDsTbO9wsN8GW4e96RKZHmKPdWed1arDgzfBuDgtlGsOca8GM0arsRoG3yu9uURnreqCuTrOBfp8fvpYvmar95e35eMq05zxmNGct3VZtazQhcg1NIKWLCdFzkxVE6EUqwUpGpHXIBgXita0EsDbvKrLGjiwBbqdetPZr9GEKHc2aNN1ypl-DJLwCgpeUlImlEyo9n0I3rRy8Han_F4SkAe5cpIrk1x5kCtpytwc68d6Z5q_xK_NBNAJCGnl1sbLbT96l778T-sP6yqEUw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1490748218</pqid></control><display><type>article</type><title>Hydatid cysts of the lung: lesion size in relation to clinical presentation and therapeutic approach</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Kuzucu, Akin ; Ulutas, Hakki ; Reha Celik, M. ; Yekeler, Erdal</creator><creatorcontrib>Kuzucu, Akin ; Ulutas, Hakki ; Reha Celik, M. ; Yekeler, Erdal</creatorcontrib><description>Purposes
The aim of this study was to assess the relationship between the pulmonary hydatid cyst size and the clinical presentation, surgical approach, and postoperative outcome. We review the problems encountered in treating large pulmonary hydatid cysts and highlight the risks associated with the rupture of the cyst and a delay of the surgical treatment.
Methods
The medical records of 169 patients surgically treated for lung hydatid cysts were reviewed. Patients were divided into two groups based on cyst size: group 1 (
n
= 128) with small (<10 cm) cysts and group 2 (
n
= 41) with giant (≥10 cm) cysts. Data related to symptoms, preoperative complications, surgical procedures performed and postoperative morbidity were analyzed and compared.
Results
In both groups, the most common symptom was chest pain, followed by dyspnea and cough, respectively. There were no differences between the two groups with respect to cyst-associated parenchymal or pleural complications before surgery (
p
= 0.80). In the large majority of cases, the surgical treatment was cystotomy, removal of the cystic membrane and capitonnage. Wedge resection was performed in nine patients in total (seven in group 1, two in group 2) and one patient in group 2 required a lobectomy. Decortication was required significantly more frequently in group 2 than in group 1 (
p
= 0.001). Sixteen patients in group 1 and 10 patients in group 2 developed postoperative complications (
p
= 0.19). There was no peri or postoperative mortality. There was no difference between the groups with respect to the duration of hospitalization (
p
= 0.17). Two patients with complicated hydatid cysts in group 1 had recurrent lesions during follow-up, whereas there was no recurrence in group 2.
Conclusion
All pulmonary hydatid cysts should be surgically treated as soon as possible after their diagnosis in order to avoid complications. Most of these lesions, regardless of size, can be surgically managed with procedures that preserve the maximal lung parenchyma and yield excellent outcomes.</description><identifier>ISSN: 0941-1291</identifier><identifier>EISSN: 1436-2813</identifier><identifier>DOI: 10.1007/s00595-012-0484-2</identifier><identifier>PMID: 23334707</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Early Diagnosis ; Echinococcosis, Pulmonary - diagnosis ; Echinococcosis, Pulmonary - pathology ; Echinococcosis, Pulmonary - surgery ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pneumonectomy - methods ; Retrospective Studies ; Surgery ; Surgical Oncology ; Time Factors ; Young Adult</subject><ispartof>Surgery today (Tokyo, Japan), 2014-01, Vol.44 (1), p.131-136</ispartof><rights>Springer Japan 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-264fb89f37c756c0d528361763e9b15aa3b517d56b05345a2b29504f69b8b0403</citedby><cites>FETCH-LOGICAL-c434t-264fb89f37c756c0d528361763e9b15aa3b517d56b05345a2b29504f69b8b0403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00595-012-0484-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00595-012-0484-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23334707$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kuzucu, Akin</creatorcontrib><creatorcontrib>Ulutas, Hakki</creatorcontrib><creatorcontrib>Reha Celik, M.</creatorcontrib><creatorcontrib>Yekeler, Erdal</creatorcontrib><title>Hydatid cysts of the lung: lesion size in relation to clinical presentation and therapeutic approach</title><title>Surgery today (Tokyo, Japan)</title><addtitle>Surg Today</addtitle><addtitle>Surg Today</addtitle><description>Purposes
The aim of this study was to assess the relationship between the pulmonary hydatid cyst size and the clinical presentation, surgical approach, and postoperative outcome. We review the problems encountered in treating large pulmonary hydatid cysts and highlight the risks associated with the rupture of the cyst and a delay of the surgical treatment.
Methods
The medical records of 169 patients surgically treated for lung hydatid cysts were reviewed. Patients were divided into two groups based on cyst size: group 1 (
n
= 128) with small (<10 cm) cysts and group 2 (
n
= 41) with giant (≥10 cm) cysts. Data related to symptoms, preoperative complications, surgical procedures performed and postoperative morbidity were analyzed and compared.
Results
In both groups, the most common symptom was chest pain, followed by dyspnea and cough, respectively. There were no differences between the two groups with respect to cyst-associated parenchymal or pleural complications before surgery (
p
= 0.80). In the large majority of cases, the surgical treatment was cystotomy, removal of the cystic membrane and capitonnage. Wedge resection was performed in nine patients in total (seven in group 1, two in group 2) and one patient in group 2 required a lobectomy. Decortication was required significantly more frequently in group 2 than in group 1 (
p
= 0.001). Sixteen patients in group 1 and 10 patients in group 2 developed postoperative complications (
p
= 0.19). There was no peri or postoperative mortality. There was no difference between the groups with respect to the duration of hospitalization (
p
= 0.17). Two patients with complicated hydatid cysts in group 1 had recurrent lesions during follow-up, whereas there was no recurrence in group 2.
Conclusion
All pulmonary hydatid cysts should be surgically treated as soon as possible after their diagnosis in order to avoid complications. Most of these lesions, regardless of size, can be surgically managed with procedures that preserve the maximal lung parenchyma and yield excellent outcomes.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Early Diagnosis</subject><subject>Echinococcosis, Pulmonary - diagnosis</subject><subject>Echinococcosis, Pulmonary - pathology</subject><subject>Echinococcosis, Pulmonary - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pneumonectomy - methods</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Time Factors</subject><subject>Young Adult</subject><issn>0941-1291</issn><issn>1436-2813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kLtOwzAUhi0EoqXwACzII0vg-JYLG6q4SZVYYLYcx2ldpU6wnaE8Pa5SGJmO5PP9_5E_hK4J3BGA4j4AiEpkQGgGvOQZPUFzwlme0ZKwUzSHipOM0IrM0EUIWwDKS4BzNKOMMV5AMUfN675R0TZY70MMuG9x3BjcjW79gDsTbO9wsN8GW4e96RKZHmKPdWed1arDgzfBuDgtlGsOca8GM0arsRoG3yu9uURnreqCuTrOBfp8fvpYvmar95e35eMq05zxmNGct3VZtazQhcg1NIKWLCdFzkxVE6EUqwUpGpHXIBgXita0EsDbvKrLGjiwBbqdetPZr9GEKHc2aNN1ypl-DJLwCgpeUlImlEyo9n0I3rRy8Han_F4SkAe5cpIrk1x5kCtpytwc68d6Z5q_xK_NBNAJCGnl1sbLbT96l778T-sP6yqEUw</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Kuzucu, Akin</creator><creator>Ulutas, Hakki</creator><creator>Reha Celik, M.</creator><creator>Yekeler, Erdal</creator><general>Springer Japan</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Hydatid cysts of the lung: lesion size in relation to clinical presentation and therapeutic approach</title><author>Kuzucu, Akin ; Ulutas, Hakki ; Reha Celik, M. ; Yekeler, Erdal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-264fb89f37c756c0d528361763e9b15aa3b517d56b05345a2b29504f69b8b0403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Early Diagnosis</topic><topic>Echinococcosis, Pulmonary - diagnosis</topic><topic>Echinococcosis, Pulmonary - pathology</topic><topic>Echinococcosis, Pulmonary - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pneumonectomy - methods</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Time Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kuzucu, Akin</creatorcontrib><creatorcontrib>Ulutas, Hakki</creatorcontrib><creatorcontrib>Reha Celik, M.</creatorcontrib><creatorcontrib>Yekeler, Erdal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Surgery today (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuzucu, Akin</au><au>Ulutas, Hakki</au><au>Reha Celik, M.</au><au>Yekeler, Erdal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hydatid cysts of the lung: lesion size in relation to clinical presentation and therapeutic approach</atitle><jtitle>Surgery today (Tokyo, Japan)</jtitle><stitle>Surg Today</stitle><addtitle>Surg Today</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>44</volume><issue>1</issue><spage>131</spage><epage>136</epage><pages>131-136</pages><issn>0941-1291</issn><eissn>1436-2813</eissn><abstract>Purposes
The aim of this study was to assess the relationship between the pulmonary hydatid cyst size and the clinical presentation, surgical approach, and postoperative outcome. We review the problems encountered in treating large pulmonary hydatid cysts and highlight the risks associated with the rupture of the cyst and a delay of the surgical treatment.
Methods
The medical records of 169 patients surgically treated for lung hydatid cysts were reviewed. Patients were divided into two groups based on cyst size: group 1 (
n
= 128) with small (<10 cm) cysts and group 2 (
n
= 41) with giant (≥10 cm) cysts. Data related to symptoms, preoperative complications, surgical procedures performed and postoperative morbidity were analyzed and compared.
Results
In both groups, the most common symptom was chest pain, followed by dyspnea and cough, respectively. There were no differences between the two groups with respect to cyst-associated parenchymal or pleural complications before surgery (
p
= 0.80). In the large majority of cases, the surgical treatment was cystotomy, removal of the cystic membrane and capitonnage. Wedge resection was performed in nine patients in total (seven in group 1, two in group 2) and one patient in group 2 required a lobectomy. Decortication was required significantly more frequently in group 2 than in group 1 (
p
= 0.001). Sixteen patients in group 1 and 10 patients in group 2 developed postoperative complications (
p
= 0.19). There was no peri or postoperative mortality. There was no difference between the groups with respect to the duration of hospitalization (
p
= 0.17). Two patients with complicated hydatid cysts in group 1 had recurrent lesions during follow-up, whereas there was no recurrence in group 2.
Conclusion
All pulmonary hydatid cysts should be surgically treated as soon as possible after their diagnosis in order to avoid complications. Most of these lesions, regardless of size, can be surgically managed with procedures that preserve the maximal lung parenchyma and yield excellent outcomes.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>23334707</pmid><doi>10.1007/s00595-012-0484-2</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adult Aged Child Child, Preschool Early Diagnosis Echinococcosis, Pulmonary - diagnosis Echinococcosis, Pulmonary - pathology Echinococcosis, Pulmonary - surgery Female Humans Male Medicine Medicine & Public Health Middle Aged Original Article Pneumonectomy - methods Retrospective Studies Surgery Surgical Oncology Time Factors Young Adult |
| title | Hydatid cysts of the lung: lesion size in relation to clinical presentation and therapeutic approach |
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