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Non-Capitonnage Method for Surgical Treatment of Lung Hydatid Cysts

M Nesimi Eren, MD, Akin E Balci, MD, evval Eren, MD

Department of Thoracic and Cardiovascular Surgery, Dicle and Firat University School of Medicine, Elazi, Turkey

For reprint information contact: Akin E Balci, MD Tel: 90 424 238 8080 Fax: 90 424 233 5038 Email: abalci{at}firat.edu.tr, Department of Thoracic Surgery, Dicle and Firat University School of Medicine, Elazi 23100, Turkey.

Capitonnage is usually advocated for obliteration of the residual cavity after removal of a hydatid cyst. To assess a non-capitonnage method, results in 33 patients were compared with those of 80 patients who had capitonnage. The non-capitonnage patients had a shorter mean hospital stay and earlier radiologic improvement but higher morbidity than the capitonnage patients. Extended air leak caused significant morbidity in each group. Bronchoscopic intervention was needed for atelectasis in 1 patient. There was no mortality in either group. In the follow-up period, no late complication or recurrence was observed in non-capitonnage patients. Among the capitonnage patients, 2 had bronchiectasis, and suture material expectoration occurred in one. The non-capitonnage method may be a good alternative to the capitonnage procedure for lung hydatid cyst. Better management of bronchial openings should improve the results of the non-capitonnage method.

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				A. Kosar, A. Orki, G. Haciibrahimoglu, H. Kiral, and B. Arman Effect of capitonnage and cystotomy on outcome of childhood pulmonary hydatid cysts. J. Thorac. Cardiovasc. Surg., September 1, 2006; 132(3): 560 - 564. [Abstract] [Full Text] [PDF]