Surgery of hydatid disease of the lungs complicated with perforation into pleural cavity

Abstract

Hydatid disease (HD) is a severe human parasitic disease that affects almost all organs and tissues, including the lungs.

Purpose of the study is to develop and improve the methods of surgical treatment of HD of the lungs complicated with perforation into pleural cavity.

Materials and methods. The paper analyzes the results of surgical treatment of 61 patients with HD of the lungs complicated with perforation into pleural cavity for the period of 2000 to 2012. Men were 45 (73.8%), women were 16 (26.2%) and 26 (42.62%) patients were young people and were at the working age - 20-40 years old. Patients with an established diagnosis of HD of the lungs complicated with perforation into pleural cavity with no signs of sepsis were subjected to surgical treatment with a short preoperative preparation. The criteria for readiness for elective surgery were: absence of pathogen microflora in repeated crops of the flora from the pleural cavity through the drainage tube in 45 (40.5%), of which radiographic reduction of the residual cavity of the cyst in 43 (38.7%) patients, improvement of general condition of all patients. Organ sparing surgery in 53 (87%) patients outnumbered the resections in 8 (13%) patients. Effectiveness of operations in a certain extent depended on the infection of the pleural cavity.

Conclusions.Thus, HD of the lungs complicated with perforation into pleural cavity is a severe combined pulmonary pleural disease and occurs with severe bronchopulmonary and general symptomatology. The number and the volume of resections increase with the extension of the length of time after perforation which is associated with the development of irreversible organic changes in the lung tissue.