Postoperative control of hydatid cysts of the lung in children. Apropos of 129 surgical patients followed for 3 years. Fate of residual cavities, problems of recurrence
Klioua, Z.; Froment, J.C.; Cherfa, A.; Abda, F.; Brahmi, A.; Benkhalef, Y.
Chirurgie; Memoires de l'Academie de Chirurgie 108(8): 678-684
1982
ISSN/ISBN: 0001-4001 PMID: 7166063 Document Number: 190401
From 1977 to 1981, 343 adults and 235 children were operated on for pulmonary hydatidosis at a clinic in Constantine, Algeria. 129 of the children were reexamined 5 months to 5 years after surgery and their preoperative symptoms, radiographic and serological findings, types of operations performed and immediate and long-term sequelae are analysed. 95 had a single cyst, 12 had multiple cysts and 22 had bilateral cysts (requiring 2 operations in 21 cases). Cystectomy with simple closure was the most frequent operation, performed in 109 (77.3%) of the cases. Complications arose in the post-operative period in 49 patients. In the long term, residual cavities were observed in 28 but were asymptomatic in 26. Serious late sequelae were observed in 2 cases, one of which required pneumonectomy. Pulmonary hydatid in a new locus were found in 2 children and there were 2 cases of spontaneous regression of a cyst, possibly attributable to increased pulmonary pressure following contralateral cystectomies. Only 2 of the 235 children died: a child with hydatids in the lungs, liver and brain died following cardiac arrest on administration of anaesthetic; another, operated urgently for severe haemoptysis, died from haemorrhages soon after surgery.