الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The aim of this retrospective study is to review the clinical and surgical data of patients with pulmonary hydatid cysts operated upon at Cardiothoracic Surgery Department Mansoura Faculty of Medicine between 1995 : 2005. Patients and methods: We had 17 patients in our study, the following was reviewed in all patients: Detailed medical history, physical examination, radiological examination including chest X-ray, C.T. chest, abdominal U/S. Lab. Investigations: Casoni test, I.H.A. test, Peripheral eosinophilia. Bronchoscopy and the surgical technique used. Results: Seventeen patients 11 males(64.7%), 6 females (35.3%), with mean age 27 years. Haemoptysis was the most common presenting symptom (41.2 %), followed by cough (17.6%), then chest pain (17.6%). Bronchoscopy was performed in (70.5%), was positive in 3 patients (17.6%). Single cysts were found in (70.6 %) and multiple cysts in (29.4%). Lower lobe cysts were found to be more liable to rupture. Cystectomy (enucleation) with capitonnage was the preferred technique and was used in 11 patients (64.7%). The most common postoperative complication was postoperative air leak, it was not observed in patients who had Cystectomy with capitonnage. All patients had postoperative medical treatment; Albedazole or mebendazole for 6 months. We had no mortality in our study. Conclusion: The presence of hydatid cysts in the lung is an indication for surgery because of the constant threat to the patient. Surgical excision of pulmonary hydatid lung cyst with maximum preservation of the lung parenchyma is the main stay of treatment. Management of pulmonary and hepatic cysts simultaneously through the thoracic route is convenient and should be encouraged in patients because this prevents a second operation.