Hydatide disease is endemic in sheep and cattle-raising areas worldwide. Its prevalence is also high in the Mediterranean region includingBosnia and Herzegovina. Retrospective appraisal of the pressentation,approach to surgical treatment and outcome of hydatid disease in children atthe Clinic for Pediatric Surgery and Clinic for Thoracic Surgery University ofSarajevo Clinics Centre in period between 2000.-2008. We surgically treated72 patients (57 male, 15 female) with a diagnosis of pulmonary hydatid diseasewith average age of 10,36 ± 4,28 (range 4 to 18) years. Chest radiographs, computertomograms and ultrasonography were the main methods of diagnosis.The basic principle of surgery was to preserve lung parenchyme as much aspossible. Clinical assessment of the symptoms, plain and lateral chest X-raysand computed tomograms led to the correct diagnosis in 100% (72/72) ofpatients. Solitary lung cysts were found in 79,17% (57/72) patients. Whilethe remaining were multiple cysts in one or more lobes of one or both lungs.Intact cysts were found in 48 (52,17%) and rupture cysts in 44 (47,83%) cases.Lung preserving surgical intervention were done in all of the patients. Therewas no mortality. Recurrent hydatid cysts were observed in 2,78% (2/72)patients. Lung preserving surgical interventions are the treatment of choicefor pulmonary hydatid cysts in children. Radical surgical procedures suchas segmentectomy, lobectomy and pneumonectomy should be avoided asmuch as possible in children.
Key words: preserving surgery, hydatiddisease, lung, children
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