[Surgical treatment of pulmonary hydatid cysts in childhood].
OBJECTIVE
To analyse the radioclinical forms of pulmonary hydatid cyst in children, and to evaluate the results of surgical treatment.


METHODS
During a period of 4 years (2002-2005), 26 surgical procedures were performed for pulmonary hydatid cyst in 23 children (16 boys and 7 girls, mean age 13, 5 years). Symptoms were chest pain (87%), broncho-pulmonary infection (32%) and hemoptysis (22%). Chest x-ray showed a non-complicated cyst in 62% of cases. The CT scan was performed in 15 cases (65%), mainly for complicated forms. Abdominal echography for all patients showed 3 hepatic localisations of hydatid cyst. All the patients underwent surgical treatment by thoracotomy.


RESULTS
In a total of 34 cysts, 21 were uncomplicated, 13 complicated (intra-bronchial rupture: 11 cases, pleural rupture: 2 cases). Cystectomy or pericystectomy were performed in 91% of cases, segmentectomy in 6% and a lobectomy in 3%. Decortication was done in the 2 pleural-ruptured cases. There was no mortality. One lower left lobe atelectasis was observed post-operatively.


CONCLUSIONS
Conservative surgical techniques for pulmonary hydatid cysts in children are preferred to parenchyma resection. In our practice the treatment of bilateral hydatidosis in 2 times decreases the complication rate.
Kabiri
E-H
EH
Service de Chirurgie Thoracique, Hôpital Militaire d'Instruction Mohamed-V, Hay Riad 10100, Rabat, Maroc. hassankabiri@yahoo.com
Kabiri
M
M
Atoini
F
F
Zidane
A
A
Arsalane
A
A
D000293:Adolescent; D000367:Age Factors; D002648:Child; D004445:Echinococcosis, Pulmonary / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013902:Radiography, Thoracic; D012737:Sex Factors; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography