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  • Title: [Surgical treatment of pulmonary hydatid cysts in childhood].
    Author: Kabiri EH, Kabiri M, Atoini F, Zidane A, Arsalane A.
    Journal: Arch Pediatr; 2006 Dec; 13(12):1495-9. PubMed ID: 17049215.
    Abstract:
    OBJECTIVES: To analyse the radioclinical forms of pulmonary hydatid cyst in children, and to evaluate the results of surgical treatment. PATIENTS AND METHODS: During a period of 4 years (2002-2005), 26 surgical procedures were performed for pulmonary hydatid cyst in 23 children (16 boys and 7 girls, mean age 13, 5 years). Symptoms were chest pain (87%), broncho-pulmonary infection (32%) and hemoptysis (22%). Chest x-ray showed a non-complicated cyst in 62% of cases. The CT scan was performed in 15 cases (65%), mainly for complicated forms. Abdominal echography for all patients showed 3 hepatic localisations of hydatid cyst. All the patients underwent surgical treatment by thoracotomy. RESULTS: In a total of 34 cysts, 21 were uncomplicated, 13 complicated (intra-bronchial rupture: 11 cases, pleural rupture: 2 cases). Cystectomy or pericystectomy were performed in 91% of cases, segmentectomy in 6% and a lobectomy in 3%. Decortication was done in the 2 pleural-ruptured cases. There was no mortality. One lower left lobe atelectasis was observed post-operatively. CONCLUSION: Conservative surgical techniques for pulmonary hydatid cysts in children are preferred to parenchyma resection. In our practice the treatment of bilateral hydatidosis in 2 times decreases the complication rate.
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