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Revista chilena de cirugía

versão On-line ISSN 0718-4026

Resumo

JANS B, JAIME et al. Treatment results of complicated and uncomplicated pulmonary hydatidosis. Rev Chil Cir [online]. 2012, vol.64, n.4, pp.346-351. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262012000400004.

Introduction: Hydatidosis is an endemic disease in our country caused by the cestode Echinococcus granulosus. The lung is the second most affected organ in humans. Objective: To review the results of surgical treatment of pulmonary hydatidosis in Hospital Base Osorno and analyze its presentation, surgical treatment and results of complicated and uncomplicated forms. Material and Methods: Retrospective case series of patients with pulmonary hydatidosis operated at the Surgery Department of Hospital Base Osorno betweenjanuary 2001 and may 2011. Results: We reviewed data from 27 patients (21 men and 6 women) with 39 pulmonary hydatid cysts in total. The average age was 35 ± 16.2. The average number of cysts per patient was 1.4 ± 0.6. Four patients (15%) had bilateral disease. Fifteen patients (55.5%) had complicated cysts and 12 (44.5%) had uncomplicated cysts. Fever and cough were significantly more frequent in patients with complicated cysts (p < 0.05). Twenty nine pericystectomies with capitonaje were performed, 9 without capitonaje and one right lower lobectomy. There were no significant differences in morbidity and mortality between groups. Discussion: Pulmonary hydatidosis has a low frequency of occurrence, debuting mainly in young patients. Their complicated forms differ in some aspects of their presentation with uncomplicated cysts; however, in our series there were no differences in postoperative results.

Palavras-chave : Pulmonary hydatidosis; complicated cysts; surgical treatment.

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