208THE USE OF VIDEO-ASSISTED THORACOSCOPIC SURGERY IN THE TREATMENT OF LUNG HYDATID CYSTS

• Published in: Interactive cardiovascular and thoracic surgery Vol. 19; no. suppl_1; p. S62
• Main Authors: Alpay, L., Lacin, T., Ocakcioglu, I., Evman, S., Dogruyol, T., Vayvada, M., Baysungur, V., Yalcinkaya, I.
• Format: Journal Article
• Language: English
• Published: Oxford University Press 01-10-2014
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1093/icvts/ivu276.208

Objectives: Comparing the postoperative outcomes of minimally invasive surgery and thoracotomy for treatment of pulmonary hydatid cysts, and to clarify the benefits and drawbacks of the two approaches.
Methods: Between January 2011 and January 2013, 77 patients (53 male, 24 female) were operated in our clinic for pulmonary hydatid cyst. Age, drainage volume, drain removal time, cyst diameter, operation time, cyst count, location of the cysts, days in intensive care unit, the necessity of blood transfusion, complications, discharge time, duration of narcotic analgesics used and visual analogue scale (VAS) score were analysed among two groups.
Results: Thoracotomy was carried out in 47 (61.0%) patients, while 30 (38.9%) patients had video-assisted thoracoscopic surgery (VATS). In 8 patients (21%), operation was started with VATS but converted to thoracotomy for reasons of insufficient single-lung ventilation (2), severe pleural adhesions in infected patients (4) and inability to palpate the cyst (2). The drainage amount, drain removal time, operation time, the appearance of multiple and/or central cysts, duration of narcotic analgesics used and VAS scores in the thoracotomy group were significantly different than of those of the VATS group. Postoperative mortality was not seen in either of the groups. Postoperative complications occurred in 4.3% of thoracotomy and in 13.3% of VATS patients (P = 201). No recurrence was seen during 3 years of follow-up.
Conclusion: With better postoperative patient satisfaction and similar clinical outcomes, VATS should be the primary approach of choice in surgical treatment of such parasitic disease, especially for patients with single and peripheral lesions of the lung.