Background: Echinococcus disease is endemic in sheep-and cattle-raising areas world wide. Its prevalence is also high in the Mediterranean region including Turkey. Objective: To determine the presentation, approach to surgical treatment and outcome of hydatid disease in an endemic region. Methods: From January 1989 to December 1998 288 patients, aged between 1 and 71 years with a mean age of 31 years (134 female, 154 male), were operated on for pulmonary hydatidosis. Clinical charts of the patients were reviewed retrospectively in a tertiary referral hospital. Results: Of 288 patients, 30 patients were asymptomatic, the rest (89%) were symptomatic, cough and chest pain being the most common symptoms. Fifty-three patients (18%) had associated liver hydatid cysts. Bilateral lung hydatid cysts were present in 18 patients (6%). Recurrent hydatid cysts were observed in 33 patients (11%). Seventy-seven patients (27%) presented with complicated hydatid cysts. Postoperative morbidity was observed in 3 patients [bronchopleural fistula (2), infection of the cyst space (1)] and postoperative mortality in 1 patient who presented with hydatid lung disease associated with liver and brain cysts. In the remaining 98.6%, no complications were noted. Conclusions: In conclusion, hydatidosis is still an important public health problem in Turkey and in an endemic country such as Turkey hydatid lung disease should be considered initially in a patient presenting with a corresponding chest roentgenogram and a compatible epidemiologic history. Surgery is indicated in all symptomatic and/or enlarging or infected cysts. When necessary lobectomy or wedge resection can be the procedure of choice. Single-stage combined resection is preferred in hydatid lung disease with associated liver hydatid cysts. Total postoperative complication and mortality rate is low and we recommend a close follow-up of the operated cases to diagnose postoperative recurrence early in its course.

Keywords:
Cystic hydatid disease, Lung
1.
Saidi F: Surgery of Hydatid Disease. Philadelphia, Saunders, 1976.
2.
Kalyoncu AF, Emri SA, Akhan O, Baris B, et al. A study of the hydatid lung disease prevalence in an Anatolian village; in Baris I (ed): Cystic Hydatid Disease in Turkey. Ankara, Turkish Lung Diseases Foundation, 1989, pp 90–99.
3.
Dogan R, Yuksel M, Cetin G, et al: Surgical treatment of hydatid cysts of the lung: Report on 1,055 patients. Thorax 1989;44:192–199.
4.
Bloomfield JA: Hydatid disease in children and adolescents. Australas Radiol 1980;24:277–283.
5.
Freixinet JL, Mestres E, Cugat E, Mateu M, et al: Hepaticothoracic transdiaphragmatic echinococcosis. Ann Thorac Surg 1988;45:426–429.
6.
Jerray M, Benzarti M, Garrouche A, Klabi N, Hayouni A: Hydatid disease of the lungs: Study of 386 cases. Am Rev Respir Dis 1992;146:185–189.
7.
Kir A, Baran R. Simultaneous operation for hydatid cyst of right lung and the liver. Thorac Cardiovasc Surg 1995;43:62–64.
8.
Salih OK, Topcuoglu MS, Celik SK, Ulus T, Tokcan A: Surgical treatment of hydatid cysts of the lung: Analysis of 405 patients. Can J Surg 1998;41:131–135.
9.
Scully RE, Mark EJ, McNeely WF, McNeely BU: Case records of the Massachusetts General Hospital. N Engl J Med 1987;317:209–218.
10.
Moore RD, Urschel JD, Fraser RE, Nakai SS, Geeraert AJ: Cystic hydatid lung disease in northwest Canada. Can J Surg 1994;37:20–22.
11.
Taha AM, Shabb B, Nassar H: Surgical therapy for pulmonary hydatidosis. Int Surg 1996; 81:187–188.
12.
Halezeroglu S, Celik M, Uysal A, Senol C, et al: Giant hydatid cysts of the lung. J Thorac Cardiovasc Surg 1997;113:712–717.
13.
Rajinder SD, Kalkat MS: One stage surgical procedure for bilateral lung and liver hydatid cysts. Ann Thorac Surg 1997;64:338–341.
14.
De Rosa F, Teggi A: Treatment of Echinococcus granulosus hydatid disease with albendazole. Ann Trop Med Parasitol 1990;84:467–472.
15.
Keshmiri M, Baharvahdat H, Fattahi SH, Davachi B, et al: A placebo controlled study of albendazole in the treatment of pulmonary echinococcosis. Eur Respir J 1999;14:503–507.
16.
Montaggian H, Saidi F: Postoperative recurrence of hydatid disease. Br J Surg 1978;165:237–242.
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2000
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