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Title: Surgery for parasitic lung infestations: roles in diagnosis and treatment.
Austin Authors: Thapa, Bibhusal ;Sapkota, Ranjan;Kim, Michelle;Barnett, Stephen A ;Sayami, Prakash
Affiliation: Olivia Newton-John Cancer Research Institute, Heidelberg, Victoria, Australia
Department of Cardiothoracic Surgery, Barwon Health, Geelong, Australia
Manmohan Cardiothoracic Vascular and Transplant Centre, Kathmandu, Nepal..
Department of Thoracic Surgery, Austin Health, Heidelberg, Victoria, Australia
Manmohan Cardiothoracic Vascular and Transplant Centre, Kathmandu, Nepal
Issue Date: Oct-2018
Publication information: Journal of thoracic disease 2018; 10(Suppl 28): S3446-S3457
Abstract: Pulmonary parasitic infestations are a worldwide problem associated with significant morbidity and socioeconomic impact. They are known to have varied clinical presentations and radiological appearances. Prevention of parasite transmission and medical treatment of cases form the two pillars of control of these diseases. The role of surgery is limited to the diagnosis and definitive treatment of the minority of pulmonary parasitic afflictions, most notably hydatidosis. Despite surgery being established as the treatment of choice in pulmonary hydatid cysts (PHCs) for over half a century, variations and unresolved controversies persist regarding the best surgical technique. Complications brought on by cyst rupture, multiplicity and multi-organ involvement add complexity to treatment decisions. The development of video-assisted thoracoscopic surgery (VATS) brings the promise of reduced peri-operative morbidity but is yet to be universally accepted as a safe technique. In this review, we endeavor to discuss the common pulmonary infestations focusing on the current trends and controversies surrounding surgery for PHC.
DOI: 10.21037/jtd.2018.08.32
Journal: Journal of thoracic disease
PubMed URL: 30505532
ISSN: 2072-1439
Type: Journal Article
Subjects: Echinococcosis
pulmonary parasitic infestations
surgical management
Appears in Collections:Journal articles

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