Primary extrapulmonary intrathoracic hydatid cysts

Autor: Georgi Iankov, Anatoli Semkov, Mihail Plochev, Petrov Danail B, Vladimir Stanoev, Eluar Goranov
Rok vydání: 2016
Předmět:
Zdroj: 8.1 Thoracic Surgery.
DOI: 10.1183/13993003.congress-2016.pa2530
Popis: BACKGROUND: Extrapulmonary intrathoracic location of the disease is very rare, and surgery can be considered that differ from those used for pulmonary hydatidosis. AIM: To report our experience with intrathoracic extrapulmonary hydatid cysts and discuss concepts of treatment. MATERIAL AND METHODS: A total of 291 patients with thoracic hydatid cysts were managed surgically in the last 20 years, in 16 (5.5%) of whom the cysts were localized extrapulmonarily. They were 9 male and 6 female with mean age of 39.4 years. The extrapulmonary cysts were found in the diaphragm (7), chest wall (3), mediastinum (2), pleural cavity (1), , pericardium (1) and myocardium (1). In 1 patient there was an association of mediastinal and cardiac hydatidosis. Cysts were multiple in the cases of chest wall invasion. RESULTS: Total cysts9 resection was chosen as the surgical procedure in all patients except 5 (18.2%), 2 of whom had cystectomy and capitonnage for cardiac hydatid cyst and 3 of whom had chest wall resection. Two stage operations were performed in the case with associated mediastinal and myocardial cysts. No complication, recurrence, or death occurred in the follow-up period of 35 +/- 18.1 months. Postoperatively, regimen of anthelmintic therapy was administered in all patients. CONCLUSION: Extrapulmonary intrathoracic hydatidosis is a rare entity. Surgical resection of the cysts is a method of choice and should be done without delay.
Databáze: OpenAIRE