Abstract

Hydatid disease is one of the common parasitic diseases in parts of the world caused by cestode, Echinococcus granulosus. It is endemic in countries like India, and Turkey. It can pose both diagnostic and therapeutic challenges. Common sites of involvement are liver and lung followed by spleen, bone, and joints. Common species causing the infection are Echinococcus granulosus and Echinococcus multilocularis. The presentation can be due to mechanical effects like pressure on the surrounding organs or rupture leading to allergic, or anaphylactic features. Pulmonary hydatid cysts can cause rupture into the pleura or airways leading to the dissemination of infection to other parts of the lung. Aim: To study the pulmonary hydatid disease surgical outcomes. Materials and methods: This is a retrospective study conducted in a tertiary care institute between January 2013 and December 2019.25 cases were analysed who underwent surgical intervention for pulmonary hydatidosis. Results: Cough was the most common symptom followed by fever, breathlessness and chest pain. Isolated pulmonary involvement was observed in 80% of cases,12% of cases had intrathoracic extrapulmonary involvement and 8% had both. Mean postoperative duration was 6 ± 3.227 days for all patients,6.7±2.5 days for lobectomies,5.47±3.65 days for excision and 7.5±0.707 days for capitonnage/marsupialization. There was no statistically significant difference in the postoperative stay between the procedures. There was no recurrence of the disease or mortality in the one-year follow-up of patients. All patients received medical therapy also. Conclusion: In this retrospective analysis majority had isolated pulmonary involvement. Patients underwent pulmonary lobar resection, excision of the cyst, capitonnage, and marsupialization. The mean duration of postoperative stay was 6 ± 3.227 days. There was no mortality. This study showed excellent outcomes of surgical management of pulmonary hydatidosis with early identification and proper management.

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