[Treatment of Hydatic cyst of the lung in children]

ABSTRACT

A Conservative treatment was adopted in 340 cases of hydatic cyst of the lungin children The authors relate the results and discuss the well-founded of this attitude. 313 patients totalizing 394 cysts were treated surgically. In 306 cases, the treatment was conservative and consisted either a cystectomy with or without capitonnage of the cavity or a pericystectomy. In 7 cases, the treatment consisted in a regulated exeresis egmentectomy or lobe ctomy. 6 death [1,7 p. cent] were noted, they were due to bronchic fistula in most cases. 37 patients [11,8 P. cent] presented post-operative complications. Global results, compared to other series with high rate of exeresis, show that there is no difference between conservative treatment and regulated exeresis. Otherwise, many fistulas of whom some were responsible of deceases would have been avoided through a more eclectic attitude, adjusted to the nature of lesions. This study allows to precise the surgical attitude to adapt according the nature of the cyst