Surgical Experience of Thoracic Hydatidosis - A Retrospective Study

Introduction: the aim of the study was to retrospectively evaluate all patients with thoracic hydatid cysts, treated surgically in our department between July 2010 To July 2016. Materials and methods: retrospective analysis was carried out in 350 cases of thoracic hydatidosis, in whom some surgical interventions were carried out at RIMS, Ranchi between 2010 to 2016.There were 204 male patients in the age group from 10 to 81 years (average 32 years). The majority were symptomatic with cough with expectoration (45%). Results: The surgical access was through posterolateral thoracotomy in 269 patients, limited thoracotomy in 56 patients, and various others in the rest.60.19% of intrapulmonary cystic lesions were right sided. Associated extrathoracic cysts were found in 70 (20%) patients. Most patients were managed with Conservative surgical procedures (91.42%). 5 patients needed complex procedures. There were 5 postoperative mortalities. Postoperative complications were seen in 30 cases. 11 patients developed prolonged air leaks. Conclusions: Surgery is the main stay of management for thoracic hydatidosis. Limited thoracotomy and conservative surgical procedures should be the first line of therapy. Radical procedures should be avoided as far as possible. Transdiaphragmatic approach is preferred for hydatid cysts involving right lung and liver.