A Review of 27 cases of Pulmonary Hydatid Cyst Disease treated surgically at King Hussein Medical Center

Objectives To review surgical cases of pulmonary hydatid cyst disease treated at the King Hussein Medical Center over a period of three years from January 2007 and December 2009. Methods This retrospective study was performed at the Thoracic Surgery division of the Royal Medical Services. Twenty seven cases were included in this study who underwent surgery. Mode of presentation, diagnosis, surgical approach and complications were analyzed. Results There were 15 male (55.6%) and 12 females (44.4%) patients. Age ranged from 15-72 years (mean 44 10.3 years). Cough and hemoptysis were the most common presenting symptoms found in 20 cases (74.1 %). Right sided cysts were found in 9 cases (33.3%) while left sided cyst were found in 13 cases (48.1%) and in 5 cases (18.5%) cysts were bilateral. We performed enucleation and capitonnage in 4 patients (14.8%), wedge resection in 5 patients (18.5%) and deroofing and capitonnage in 18 patients (66.6%). Most patients had a smooth recovery except 3 patients (11.1%) who developed a prolonged air leak, two of whom were treated conservatively. Conclusion Different surgical techniques including deroofing and capitonnage and wedge resection were effective to treat pulmonary hydatid cyst disease with minimal complications and satisfactory results.