Parenchyma-preserving surgery in the management of XXXX .

@entity1 @entity1143 @entity233 @entity3509 @entity2737 @entity891 @entity86 @entity18768
Pulmonary hydatid cysts remain a significant health problem in endemic regions like @entity233 . Here, we present our surgical experience in @entity1 with @entity18768 . Between January 1985 and January 2001, 1118 operations were performed in 1032 @entity1 (528 males, 504 females; mean age 32.7 years; range 1-87 years) with @entity18768 in our department. Posterolateral thoracotomy was performed in 1015 (98.3%), two-stage thoracotomy in 34 (3.3%), and median sternotomy in 17 (1.7%) @entity1 . We preferred conservative surgical procedures. As a surgical procedure, cystotomy and capitonnage was performed in 626 (56%), cystotomy alone in 368 (33%), wedge resection in 81 (7%), enucleation in 29 (3%), and decortication in 11 (1%) @entity1 . None of our @entity1 were treated with anatomic resection. During surgery, 949 @entity1 (92%) had unruptured and 83 @entity1 (8%) had ruptured hydatid cyst. The morbidity ratio was 6.7%. Major complications were @entity2737 (2.3%), prolonged air leak (1.9%), @entity891 (1.2%), @entity1143 (0.8%), @entity86 (0.6%), and @entity3509 (0.3%). Two @entity1 (0.2%) died within the first month postoperatively. Mean follow-up was 31.2 months. Recurrence was detected in only 35 @entity1 (3.3%). Treatment of pulmonary hydatid cyst is primarily surgical. Medical treatment is indicated for recurrent and multiple hydatid cysts postoperatively. Cystotomy alone, or cystotomy and capitonnage, as parenchyma-preserving surgery, is preferred. Radical surgery including pneumonectomy, lobectomy, and segmentectomy should be avoided.
