PERI-CYSTECTOMY VERSUS- CYSTOTOMY AND ENUCLEATION OF GERMINAL LAYER BY TISSUE SPEARING TECHNIQUE FOR LUNG HYDATID IN EGYPT | ||||
| Journal of the Egyptian Society of Parasitology | ||||
| Article 5, Volume 50, Issue 3, December 2020, Page 494-503 PDF (1.6 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/jesp.2020.131073 | ||||
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| Authors | ||||
| YASSER AHMED EL-SAYED1; EISSA ABDEL HAMED IBRAHIM2; TOSSON ALY MORSY3 | ||||
| 1Consultant of Thoracic Surgery | ||||
| 2Consultant of General Surgery | ||||
| 3Department of Parasitology, Faculty of Medicine, Ain Shams University | ||||
| Abstract | ||||
| Echinococcal disease is caused by infection with the metacestode stage of the tapeworm Echinococcus, which belongs to the family Taeniidae. Four species of Echinococcus produce infection in humans; E. granulosus and E. multilocularis are the commonest, causing cystic echinococcosis (CE) and alveolar echinococcosis (AE), respectively. The clinical features of infection due to E. granulosus and E. multilocularis differed from each other. The two other species, E. vogeli and E. oligarthrus, cause polycystic echinococcosis but have only rarely had been ass-ociated with man. Surgery is still the gold standard treatment, chemotherapy is retracted to some patient, because yields inconsistent result. The study was carried out up on 16 male patients with single giant uncomplicated lung hydatid admitted to Kobry El Kobba Military Campus. The patients was randomly divided into two groups, GI included 8 patients, of whom 6 patients with right lung lesion and 2 with left lung lesion. One of the 6 patients with right side liver lesion was treated by cystotomy, after aspiration of cyst fluid and enucleation of germinal layer and de-roofing the cyst. G II included 8 patients, 4 patients with left side lesion and 4 with right side lesion and 2 patients had both lung and The most diagnostic tool was chest radiography and CT. Treatment included medical and surgical treatment was divided into conservative surgery and radical surgery. Both groups were treated by conservative surgical method but the outcome in GI was better than in GII. | ||||
| Keywords | ||||
| Patients Hydatidosis; Pulmonary; Hepatic and Thoraco-hepatic; Surgical treatment | ||||
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