Cystotomy with Non-Capitonnage in Treating Children with Pulmonary Hydatid Disease.

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-02-20 Epub Date: 2021-07-28 DOI:10.5761/atcs.oa.20-00390
Taozhen He, Xiaoyan Sun, Zhong Zhang, Bing Xu, Wenying Liu
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引用次数: 1

Abstract

Purpose: Pulmonary parenchyma saving method (cystotomy and enucleation) has been globally accepted in lung hydatidosis. However, whether capitonnage is performed or not after cystotomy is still controversial. This study aims to improve the diagnosis and treatment of patients.

Methods: We retrospectively analyzed the data of 12 pediatric patients with pulmonary hydatid cysts. These 12 patients (10 males and 2 females), with an average age of 8.7 years, underwent cystotomy without capitonnage. The mean follow-up period was 36 months.

Results: Among the 12 patients, 10 underwent thoracotomy cystotomy and 2 underwent thoracoscopic surgery with excellent outcomes except one case of postoperative broncho-pleura fistula, which was treated through thoracoscopic surgery. The mean hospital stay was 8 days. No death or recurrence occurred during the follow-up period.

Conclusion: Good therapeutic effect can be expected by combining cystotomy of pulmonary hydatid cysts with postoperative anti-hydatid drug therapy. For those unruptured (uncomplicated) hydatid lung cysts, cystotomy with the non-capitonnage method seems to be the best option, which needs to be verified by well-designed studies.

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非资本化膀胱切除术治疗儿童肺包虫病。
目的:肺实质保存法(膀胱切除术和去核术)已被全球公认为肺包虫病的治疗方法。然而,膀胱切除术后是否进行capitonacy仍存在争议。本研究旨在提高患者的诊断和治疗水平。方法:回顾性分析12例小儿肺包虫病的临床资料。12例患者(男10例,女2例),平均年龄8.7岁,均行膀胱切除术,无膀胱盖顶术。平均随访时间为36个月。结果:12例患者中,除1例术后支气管胸膜瘘经胸腔镜手术治疗外,10例行开胸膀胱切除术,2例行胸腔镜手术,预后良好。平均住院时间为8天。随访期间无患者死亡或复发。结论:肺包虫囊切除术联合术后抗包虫药治疗可取得良好的治疗效果。对于未破裂(不复杂)的包囊性肺囊肿,非包囊法切囊似乎是最好的选择,这需要经过精心设计的研究来验证。
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来源期刊
Annals of Thoracic and Cardiovascular Surgery
Annals of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-SURGERY
CiteScore
2.80
自引率
0.00%
发文量
56
审稿时长
4-8 weeks
期刊介绍: Information not localized
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