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Introduction: Sporadic cases of lung hydatid cyst is common in India apart from its endemicity in Mediterranean regions and other rural areas of developing countries. The patients of Hydatid cyst (HC) of lungs are often diagnosed incidentally. The definitive treatment of such lesions is surgery. Lung preserving surgery in such cases is generally the preferred technique unless there is considerable destruction of pulmonary parenchyma. Cystotomy and capitonnage are the two preferred techniques and generally followed. In this retrospective observational study it was attempted to analyze outcomes of cystotomy and capitonnage with regard to postoperative morbidity and mortality. Material and Methods: Between 1st May 2014 and 31st May 2019, a total of 73 patients with lung Hydatid cyst were randomly selected from all the hydatid cyst cases operated in a tertiary centre and the results and outcome analyzed. Out of 73 cases 39 (Group A) were operated by Cystotomy and closure of bronchial opening and 34 (Group B) were operated with Cystotomy, closure of bronchial opening and Capitonnage. Results: The mean chest tube removal time for Group A and B was 5.94 ± 3.17 and 3.41 ± 2.61 days respectively. The mean hospital stay was 10.02 ± 4.53 days for group A and 7.55 ± 2.66 days for group B. Prolonged air leak (>7days) was found in 15 patients in group A, 14 of which required prolonged chest tube drainage and 1 required surgical closure. 4 patients in group B had prolonged air leak and all closed with prolonged chest tube drainage. No abscess formation or mortality was observed in any group in this study. There was a significant difference between group A and group B with regard to chest tube removal time (P=0.000836), hospital stay (P = 0.047585), and all complications (P= 0.008214). Conclusion: In surgical management of pulmonary Hydatid cyst, capitonnage is superior to cystotomy without capitonnage because it reduces morbidity and hospital stay.

Cystectomy With or Without Capitonnage: Analysis of Outcome of 73 Cases in the Management of Hydatid Cyst of Lung