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Impact of the evolutionary stage of pulmonary hydatid cyst on the postoperative course

Abdessalem Hentati, Walid ABID, Zied Chaari, Aymen Ben Ayed, Imed Frikha
European Respiratory Journal 2021 58: PA3412; DOI: 10.1183/13993003.congress-2021.PA3412
Abdessalem Hentati
1University of Sfax, Sfax, Tunisia
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  • For correspondence: slim_hentati1987@hotmail.fr
Walid ABID
1University of Sfax, Sfax, Tunisia
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Zied Chaari
1University of Sfax, Sfax, Tunisia
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Aymen Ben Ayed
1University of Sfax, Sfax, Tunisia
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Imed Frikha
1University of Sfax, Sfax, Tunisia
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Abstract

Introduction: Hydatid lung disease is still endemic in several countries. Surgical treatment may be correlated with complicated course.

Methods: Retrospective review of patient operated for hydatid lung cyst with study of correlation between cyst’s evolution and post-operative course

Results: The total number of patients was 267, (116 men and 151 women). The median mean age was 26 years. All patients had a standard chest x-ray. Only 77.20% of patient had further exploration with a chest CT scan. Simple hydatid cyst represents 47,9% of cases, fissured hydatid 10,9%, partially vomited cyst 21,7%, and completely vomited cyst 19,5%. Posterolateral thoracotomy was the main approach in 97.40%. Treatment was conservative in 98.90% of cases. It consisted of cystectomy with partial peri-cystectomy. Padding of the residual cavity was performed in 79% of cases). An associated parenchymal resection was required in 3% of cases. Complicated post-operative course was found in 16.50% of cases with a mortality pf 1,49%. Prolonged air leak and pulmonary infection represented the main complications (11,3%). The analytical study showed that simple Hydatid cyst was associated with a significantly lower morbidity rate of 10.15% than the other groups (p = 0.008, OR = 0.39; 95% CI [0.19-0.79]). While completely vomited cyst are associated with a significantly higher morbidity rate of 28.84% than the other types (p = 0.007, OR = 2.6; 95% CI [1.27-5.32]).

Conclusion: Surgery remains the treatment of choice of hydatid cyst of the lung. Delay on the management of these cyst is correlated with greater morbidity. A screening strategy should be encouraged in endemic countries to treat hydatid cyst at an early stage

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Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3412.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Impact of the evolutionary stage of pulmonary hydatid cyst on the postoperative course
Abdessalem Hentati, Walid ABID, Zied Chaari, Aymen Ben Ayed, Imed Frikha
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3412; DOI: 10.1183/13993003.congress-2021.PA3412

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Impact of the evolutionary stage of pulmonary hydatid cyst on the postoperative course
Abdessalem Hentati, Walid ABID, Zied Chaari, Aymen Ben Ayed, Imed Frikha
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3412; DOI: 10.1183/13993003.congress-2021.PA3412
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