Pediatric anesthesia & critical care

A 10‐Year Retrospective Study: To Evaluate the Anesthetic and Surgical Management for Pulmonary Hydatid Cyst in Children

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

OLV is critical in minimizing spillage and facilitating surgical management in pediatric PH. The incidence of intraoperative complications was higher in those with bilateral Pulmonary hydatid disease. The duration of One Lung Ventilation (OLV) and hospital stay was prolonged in those with complicated pulmonary hydatid cyst.

Study context

Population
Children ≤ 18 years undergoing surgery for pulmonary hydatid disease at a tertiary care center, January 2012–December 2022
Participants
28 children · 31 procedures
Outcome
Anesthetic and surgical management
Methodological detailssingle-centre, tertiary care center, 10-year, Data from medical records, operative notes and imaging reports
  • Single-centre
  • Tertiary care center
  • 10-year
  • Data from medical records, operative notes and imaging reports

Main finding

As reported in the abstract

One lung ventilation (OLV) achieved
96%
DLT used
45%
Arndt blocker used
33%
Fogarty blocker used
13%
Ruptured cysts (cases)
12
Bilateral disease (children)
3

Observational data: associations, not effects.

Further findings

OutcomeMean OLV duration (h)P value
Mean OLV duration, complicated vs other cases3.42 vs. 2.3P = 0.019

Extubation and LOS

Mean LOS (days)
7
All patients extubated on-table

Safety

Perioperative complications

Desaturation
75%
Transient bradycardia
29%
Major perioperative events, all in children with ruptured cysts
three
Postoperative air leaks
10
Air leaks requiring re-surgery
three
No long-term morbidity or mortality

Original publication

A 10‐Year Retrospective Study: To Evaluate the Anesthetic and Surgical Management for Pulmonary Hydatid Cyst in Children. Paediatr Anaesth. Published 6 December 2025. doi:10.1002/pan.70100

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