Uniportal-Single Incision Thoracoscopic Access for Pulmonary Hydatid Cysts

Author(s): Cenk Balta*

Journal Name: Current Respiratory Medicine Reviews

Volume 15 , Issue 1 , 2019

Become EABM
Become Reviewer
Call for Editor

Graphical Abstract:


Objective: Pulmonary hydatid cyst is caused by Echinococcus Species and has high prevalence in low and middle income countries. Surgery remains the gold standard method for this parasitic pulmonary disease. Here, we report 20 cases of pulmonary hydatid cysts that underwent minimally invasive videothoracoscopic surgery.

Methodology: All the patients who underwent minimally invasive complete thoracoscopic removal of pulmonary hydatid cysts in our clinic, which were recorded in the hospital database had been extracted. Clinical properties and complications of the surgeries were analyzed retrospectively.

Results: Minimally invasive method was performed in all 20 cases. The mean duration of operation was 95 minutes (min-max: 45-175), and the mean length of hospitalization was 3.55 days (min-max: 2-7). The complication rate was 15% (n=3) and there was no recurrence in 6 months of follow- up.

Conclusion: Videothorascopic pulmonary hydatid cysts removal seems to be a safe and useful method. This method is applied in all suitable patients with pulmonary hydatid cysts.

Keywords: Echinococcus granulosus, hydatid cyst, minimally invasive, pulmonary hydatid cyst, surgical procedure, VATS, videothoracoscopy.

Burgos R, Varela A, Castedo E, et al. Pulmonary hydatidosis: Surgical treatment and follow-up of 240 cases. Eur J Cardiothorac Surg 1999; 16(6): 628-34.
Auldist AW, Blakelock R. Pulmonary hydatid disease Pediatric Thoracic Surgery. London: Springer 2009; pp. 161-7.
Dakak M, Genç O, Gürkök S, Gözübüyük A, Balkanli K. Surgical treatment for pulmonary hydatidosis (a review of 422 cases). J R Coll Surg Edinb 2002; 47(5): 689-92.
Becmeur F, Chaouachi B, Dhaoui R, et al. Video-assisted thoracic surgery of hydatid cysts of the lung in children. J Chir (Paris) 1994; 131(12): 541-3.
Alpay L, Lacin T, Atinkaya C, et al. Video-assisted thoracoscopic removal of pulmonary hydatid cysts. Eur J Cardiothorac Surg 2012; 42(6): 971-5.
Alpay L, Lacin T, Ocakcioglu I, et al. Is video-assisted thoracoscopic surgery adequate in treatment of pulmonary hydatidosis? Ann Thorac Surg 2015; 100(1): 258-62.
Ramos G, Orduña A, García-Yuste M. Hydatid cyst of the lung: Diagnosis and treatment. World J Surg 2001; 25(1): 46-57.
Migliore M, Calvo D, Criscione A, Borrata F. Uniportal video assisted thoracic surgery: Summary of experience, mini-review and perspectives. J Thorac Dis 2015; 7(9): E378-80.
Migliore M, Deodato G. Thoracoscopic surgery, video-thoracoscopic surgery, or VATS: A confusion in definition. Ann Thorac Surg 2000; 69(6): 1990-1.
Hippocrates.Aphorisms. VII: 55.
Ma J, Wang X, Mamatimin X, et al. Therapeutic evaluation of video-assisted thoracoscopic surgery versus open thoracotomy for pediatric pulmonary hydatid disease. J Cardiothorac Surg 2016; 11(1): 129.
Arinc S, Kosif A, Ertugrul M, et al. Evaluation of pulmonary hydatid cyst cases. Int J Surg 2009; 7(3): 192-5.
Ateş U, Ergün E, Göllü G, et al. Thorascoscopic cystostomy of pulmonary hydatid cyst in children. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2017; 70(1): 77-82.
Dokumcu Z, Arslan S, Divarci E, Erdener A, Ozcan C. Thoracoscopic treatment of pulmonary hydatid cysts may have a high morbidity risk in children: Retrospective analysis. Eurasian J Med 2017; 49(3): 172-7.
Todorov T, Vutova K, Mechkov G, Petkov D, Nedelkov G, Tonchev Z. Evaluation of response to chemotherapy of human cystic echinococcosis. Br J Radiol 1990; 63(751): 523-31.
Ozyurtkan MO, Balci AE. Surgical treatment of intrathoracic hydatid disease: A 5-year experience in an endemic region. Surg Today 2010; 40(1): 31-7.
Mutaf O, Arikan A, Yazici M, Erdener A, Ozok G. Pulmonary hydatidosis in children. Eur J Pediatr Surg 1994; 4(2): 70-3.
Amine K, Samia B, Jamila C, et al. Thoracoscopic treatment of pulmonary hydatid cyst in children: A report of 25 cases. Tunis Med 2014; 92(5): 341-4.
Uchikov AP, Shipkov CD, Prisadov G. Treatment of lung hydatidosis by VATS: A preliminary report. Can J Surg 2004; 47(5): 380-1.
Findikcioglu A, Karadayi S, Kilic D, Hatiopoglu A. Video-assisted thoracoscopic surgery to treat hydatid disease of the thorax in adults: Is it feasible? J Laparoendosc Adv Surg Tech A 2012; 22(9): 882-5.

open access plus

Rights & PermissionsPrintExport Cite as

Article Details

Year: 2019
Published on: 11 September, 2019
Page: [39 - 44]
Pages: 6
DOI: 10.2174/1573398X15666190508090653

Article Metrics

PDF: 17
PRC: 1