Document Detail

Is capitonnage unnecessary in the surgery of intact pulmonary hydatic cyst?
MedLine Citation:
PMID:  14725704     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Hydatid disease, a parasitosis, is still an important health problem in Turkey. Surgery is the choice of treatment for pulmonary hydatid cyst. In this study, cystotomy and capitonnage were compared to cystotomy. METHODS: Fifty-nine patients with 70 pulmonary intact hydatid cysts were surgically treated between 1993 and 1999. There were 11 females and 48 males (range 4-58 years). Cystotomy and closure of bronchial openings were performed in all patients. The patients were divided into two groups. In Group A (n = 32 patients, n = 38 cysts), the cavity was closed (capitonnage), and in Group B (n = 27 patients, n = 32 cysts) capitonnage was not performed. The patients treated by other surgical methods (pericystectomy, lobectomy, and others) were not included in this study. RESULTS: Prolonged air leak (> 5 days) was found in one patient in Group A, and in four patients in Group B. Atelectasis developed in one patient in Group A, and in three patients in Group B. Additionally, in Group B pseudocystic appearance occurred in two patients and empyema in one patient. The duration of hospitalization was 9.8 +/- 2.1 days for Group A, and 12.4 +/- 3.2 days for Group B. There was a significant difference between the groups for hospital time (p < 0.01). There was no mortality in either group. CONCLUSION: This study shows that capitonnage is a procedure that should not be easily abandoned, despite the current contrary opinions, because of its low complication rate.
Mehmet Bilgin; Fahri Oguzkaya; Yigit Akçali
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  74     ISSN:  1445-1433     ISO Abbreviation:  ANZ J Surg     Publication Date:    2004 Jan-Feb
Date Detail:
Created Date:  2004-01-16     Completed Date:  2004-06-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  40-2     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Erciyes University Medical, Faculty, Kayseri, Turkey.
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MeSH Terms
Echinococcosis, Pulmonary / radiography,  surgery*
Thoracic Surgical Procedures / methods*
Tomography, X-Ray Computed
Treatment Outcome

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