The problems and advantages of one lung ventilation during surgical intervention in pulmonary hydatid cyst disease |
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Authors: | Hidir Esme MD Huseyin Fidan MD Ahmet Cekirdekci MD |
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Affiliation: | (1) Department of Anaesthesia, Afyon Kocatepe University School of Medicine, Afyon, Turkey;(2) Department of Cardiovascular Surgery, Afyon Kocatepe University School of Medicine, Afyon, Turkey;(3) Department of Thoracic Surgery, Afyon Kocatepe University, Faculty of Medicine, Pembe Hastane, 03200 Afyon, Turkey |
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Abstract: | Background Hydatid disease is the most severe helminthic zoonosis, with an important public health problem especially in rural areas
in Turkey. The aim of this study was to review the problems and advantages encountered in surgical treatment of 43 patients
who were ventilated with one-lung ventilation during last four years.
Methods Patients, operated with one-lung ventilation, constitute the study group. Data related to symptoms, radiographic findings,
performed surgical procedures, perioperative and postoperative morbidity, hospitalization time, and cyst recurrence were collected
from each individual's records.
Results Cystotomy and capitonnage were performed in all cases. Perioperative complications were seen in 5 patients. Four of these
5 patients had double-lumen endotracheal tube malpositioning. In one patient hypoxemia developed. The most common postoperative
complication was atelectasis. One patient had recurrent cysts. There was no perioperative or postoperative death.
Conclusions We prefer cystotomy and capitonnage because it is a fast and effective technique with limited postoperative complications.
One-lung ventilation prevents the exposure of lower lung areas from massive aspiration, which may cause acute obstruction
of airways, and contamination by cyst contents from the operative part of the lung that causes recurrent disease. One-lung
ventilation in pulmonary hydatid cyst surgery may be preferred owing to lower mortality and morbidity rates. |
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Keywords: | Lung Hydatid cyst Cysts |
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