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Revista de cirugía

versão impressa ISSN 2452-4557versão On-line ISSN 2452-4549

Resumo

GONZALEZ L., Roberto et al. Pulmonary hydatidosis: Findings and surgical treatment in complicated versus uncomplicated cysts. Rev. cir. [online]. 2020, vol.72, n.4, pp.311-318. ISSN 2452-4557.  http://dx.doi.org/10.35687/s2452-45492020004609.

Background:

Human hydatidosis is a prevalent zoonosis in our environment, caused mainly by the Echinococcus granulosus parasite. The most common complications in the lung are cyst rupture and infection.

Aim:

To describe and compare clinical characteristics, treatment, morbidity and mortality of patients hospitalized for complicated versus uncomplicated hydatid pulmonary cyst (HPC).

Materials and Method:

Longitudinal analytical study. Period January 1973 - December 2017 at the Regional Clinical Hospital of Concepción “Dr. Guillermo Grant Benavente”, Chile. Database, prospective protocols and medical records were reviewed. Microsoft Excel® spreadsheet and SPSS24® program with chi square and Student's t-test were used. It was considered significant p < 0.05.

Results:

Total 364 episodes of HPC, complicated 179 (49.2%) versus uncomplicated 185 (50.8%). Average age 36.4 ± 18.9 versus 32.4 ± 19.1 years, male 114 (63.7%) versus 107 (57.8%), respectively. A statistically significant difference was found in: symptomatology cough 147 (82.1%) versus 120 (64.9%), hemoptysis 93 (52.0%) versus 45 (24.3%), respectively; HPC right 115 (64.2%) versus 99 (53.5%), respectively; resective cyst surgery 139 (77.7%) versus 167 (90.3%), reoperation 22 (12.3%) versus 8 (4.3%), respectively; morbidity 47 (26.3%) versus 30 (16.2%), mortality 6 (3.4%) versus 0 (0%), average postoperative hospital stay 16.1 ± 14.3 versus 10.7 ± 7.7 days, recurrence 15 (8.4%) versus 13 (7.0%), respectively.

Conclusions:

Approximately half of the HPCs are complicated. Complicated HPCs present statistically significant differences in their clinical, treatment, morbidity, mortality and postoperative hospital stay.

Palavras-chave : echinococcosis; pulmonary; thoracic surgery; zoonoses; lung diseases; operative surgical procedures.

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