The aim of this study is to compare two methods of capitonnage and uncapitonnage in the surgery of uncomplicated pulmonary hydatid cysts.
METHODS: 502 patients with pulmonary hydatid cysts who were managed surgically were evaluated retrospectively from 1994- 2007. The medical records and types of surgery of 234 patients with intact pulmonary hydatid cysts were collected. Patients were divided into two groups. Group 1 patients were operated using capitonnage and group 2 patients using uncapitonnage methods. Postoperative complications of two groups were compared.
RESULTS: 84 patients of group 1 with a mean age of 28.81± 9.37 years were operated using capitonnage method and 150 patients of group 2 with a mean age of 31.04± 8.62 years without capitonnage method. In the comparison of postoperative complications (pneumothrax, empyema and pneumonia) in two groups the results obtained from group 1 were significantly more advantageous over group 2 (P< 0.001). Total hospitalization time of group 1 was (5.2 ± 2.3) days and (5.9 ± 3.1) days for group 2 (P= 0.03). The duration of air leak was 2.1 ± 1.8 days for group 1, and 6.7 ± 3.5 days for group 2 (P< 0.001). There was significant statistical difference between two groups regarding the development of prolonged air leak and empyema. One and three cases of recurrence were observed in group1 and group 2 respectively. There was no significant difference regarding the rate of disease recurrence between two groups. No mortality was reported in both groups.
CONCLUSION: We conclude that the capitonnage method has more advantages in surgery of uncomplicated pulmonary hydatid cysts.
