SURGICAL MANAGEMENT OF HYDATID LUNG DISEASE: EXPERIENCE IN GULAB DEVI HOSPITAL LAHORE
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Abstract
Objective: To evaluate the outcome of surgical intervention for hydatid lung disease in our set up.
Methodology: This cross sectional study was conducted at department of Thoracic Surgery, Gulab Devi Chest Hospital, Lahore, Pakistan on 72 cases of Hydatid lung disease, operated from 2009 to 2011. Patients of any age of either gender, hospitalized for surgical intervention for Hydatid lung disease were included in the study. Patients declared unfit for surgery or anesthesias were excluded. Standard thoracotomy was the procedure adopted in majority of cases. Sternotomy and Abdomino-thoracic approach was adopted in a smaller group of patients on requirement of location of cysts. Data were collected and analyzed by SPSS version 20.
Results: Male female ratio was 40/32 and most of them belonged to age group 31-50 yrs. Fifty six (77.8%) patients were symptomatic at presentation. Unilateral cysts were seen in 45 (62.5%) csases, multiple cysts in 15 (20.8%) and bilateral cysts in 12 (16.7%) cases. Ruptured hydatid encountered in 24 (33.3%) cases. Cystectomy and obliteration of space was done in 58 (80.5%), lobectomy in 10 (13.9%) and wedge resection in 4 (5.6%) patients. Postoperative course was uneventful in 60 (83.3%) cases, major complication were observed in 06 (8.3%) patients, minor complications in 06 (8.3%) patients and one (1.4%) patient died. No recurrence was reported during one year of follow up.
Conclusion: Surgery for hydatid lung disease is safe in majority of cases as it involves very little morbidity/ mortality and provides complete cure of the disease.
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