Abstract:
Objective To compare the effect of thoracoscopic and thoracotomic cystectomy with needle aspiration for pulmonary hydatid disease in the plateau area of Tibet.
Methods A retrospective analysis was performed that 36 patients who suffered from pulmonary hydatid disease and underwent thoracoscopic cystectomy with needle aspiration in the Shigatse People's Hospital from July 2015 to August 2018 were selected as the study group, while 36 matching patients who underwent thoracotomic cystectomy with needle aspiration during the same period were selected as the control group. Comparisons of the operation time, intraoperative blood loss, drainage volume, postoperative hospital stay, and postoperative complications between the study group and the control group were performed. Postoperative CT imaging and recurrence were compared to evaluate prognosis.
Results There was significant difference in general data between the thoracoscopic group and the thoracotomy group in terms of the operation time, bleeding volume, drainage volume and hospital stay after the operation(P < 0.05), the thoracoscopic group was superior. There was no significant difference in postoperative complications, poor imaging outcome and recurrence rate between the two groups.
Conclusions Thoracoscopic cystectomy with needle aspiration has certain advantages in the treatment of pulmonary hydatid disease in high altitude Tibet areas.
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