E-ISSN 2149-2530
Original Article
Is bilateral staged muscle sparing thoracotomy in one week for lung hydatid cysts safe for pediatric patients?
1 Department of Thoracic Surgery, Erciyes University School of Medicine, Kayseri, Turkey  
turkthoracj ; 5: -
DOI: 10.5152/TurkThoracJ.2017.17039
This article was viewed 64 times, downloaded 0 times

Key Words: hydatid cyst, pediatric, surgery, thoracotomy

OBJECTIVES: Median sternotomy or staged thoracotomies are generally preferred surgical treatment options of bilateral lung hydatid cysts. In the current literature, it is usually recommended to wait from 3 weeks to 3 months between bilateral staged thoracotomies. The aim of this study is to compare postoperative complications, hospitalization days, and morbidity and mortality ratios between unilateral thoracotomy and bilateral staged thoracotomy groups and to evaluate the safety of performing bilateral staged thoracotomy in one week for lung hydatid cysts in pediatric patients.


MATERIAL AND METHODS: In our study, there were 112 patients under the age of 16 who had surgery between 2000 and 2016 due to pulmonary hydatid cysts. The patients were classified into two groups as Group 1 (Unilateral muscle sparing thoracotomy) and Group 2 (Bilateral staged muscle sparing thoracotomy applied in one week).


RESULTS: There were 91 patients in Group 1 and 21 patients in Group 2.No statistically significant differences were detected when both groups were compared by age, gender, perforation rates, follow-up period and postoperative complications.


CONCLUSION: To prevent hydatid cysts complications, the elapsed time between two thoracotomies should be long enough to evaluate the postoperative complications, but also relatively short to prevent possible complications that may develop in the other lung. In our opinion, a patient follow-up of 3–7 days between thoracotomies is sufficient for the assessment of patients’ clinical status and possible complications.

Key Words
Author's Corner
AVES | Copyright © 2018 Turkish Thoracic Society Latest Update: 12.01.2018