Epidemiology and Early Complications of Lung and Liver Hydatid Cyst Surgery among Patients Referred to Afzalipour Hospital, Kerman University of Medical Sciences During ۲۰۰۳-۲۰۱۳

Background and Aims: Hydatid cyst disease is one of the most common parasitic zoonotic diseases in Iran and the most common involved sites, are lungs and liver. The best treatment of this disease is surgery. The aim of this study was to evaluate the epidemiology and early complications of surgery of hydatid cyst of lung and liver in patients referred to Afzalipour Hospital afiliated to Kerman University of Medical Sciences during ۲۰۰۳-۲۰۱۳. Method: In this cross-sectional study, ۸۵ patients with lung or liver hydatid cyst who were referred to Afzalipour hospital during ۲۰۰۳-۲۰۱۳ were evaluated retrospectively. Data related to epidemiologic variables and surgery complications were obtained from patient’s documents. Results: From ۸۵ patients with hydatid cyst of lung and liver, ۴۸.۲۳% were male and ۵۱.۷۶% were female. Among patients, ۶۹.۴ % had lung hydatid cyst, ۲۴.۷% had liver hydatid cyst and ۵.۸% had both simultaneously. Cough, dyspnea and fever were dominant symptoms and almost all the surgeries were done through cystectomy with open drainage or cystectomy with capitonage. In whole, ۱۲ cases (۱۴%) had been complicated. There was no significant relation between the method of surgery and complications. Conclusion: in the present study, the results of epidemiologic variables such as age, sex, prevalence of pulmonary and hepatic involvement and clinical manifestations were similar to the studies that were done in other cities of Iran and also previous studies in Kerman. From ۸۵ surgeries, ۱۲ cases were complicated and there was no significant relation between the method of surgery and complications. Method of surgery, result and complications were similar to other parts of the world and surgery is recommended to prevent hydatid cyst complications such as abscess, opening to the pleural cavity and anaphylactic shock.

Keywords:

Hydatid cyst , Prevalence , Cystectomy , Lung , Liver , Echinococcosis