| Abstract: There is a challenge over treatment of giant pulmonary hydatid cysts. Therefore, we aimed at comparing
the surgical procedures and postoperative complications between patients with giant and non-giant hydatid cysts. In
a retrospective clinical study, patients operated for hydatid lung cysts were divided into giant pulmonary hydatid
cysts (size>10 cm) and non-giant hydatid cysts groups. Patients were treated surgically using lung preservation
(capitonnage, uncapitonnage and segmentectomy) and lobectomy procedures. A total of 612 patients, 59 (9.6%) in
the giant and 553 (90.4%) in the non-giant pulmonary hydatid cysts, were recruited. The most common symptoms in
the giant group were cough (100%) and dyspnea (71.2%). These symptoms along with the systemic symptoms and
ruptured hydatid cysts were more observed in the giant group (P<0.001). The lung preservation procedures and cyst
delivery were more performed in the non-giant group (P<0.001), while lobectomy, needle aspiration and bronchial
opening closure procedures were more applied to the giant group (P<0.05). The postoperative pulmonary
complications, excluding empyema and anaphylaxis, were more observed in the non-giant group (P<0.001). The
patients undergoing the surgery of giant pulmonary hydatid cysts, using lobectomy in comparison with the lung
preserving procedures experience lesser postoperative pulmonary complications and total length of hospitalization.
[Sokouti M, Pezeshkian M, Ghabili K, Golzari SE. Surgical Procedures and Postoperative Complications in
Patients with Giant and Non-giant Pulmonary Hydatid Cysts. Life Sci J 2013;10(1):138-142] (ISSN:1097-
8135). http://www.lifesciencesite.com. 20 |