[Abdominothoracic hydatidosis. Evaluation of 5 years' activity of the surgical service of the Farhat Hached de Sousse University Hospital].

The authors report a statistical study of abdominal and/or pulmonary locations of hydatid cyst disease operated on at Farhat Hached hospital (Sousse, Tunisia) during a five years period. Between January 1980 and December 1984, 465 patients were operated on by Pr Gharbi's staff. 255 patients had hydatid cyst disease of the liver. 68% of them were more than 30 years of age and 67% were females. 16% of these patients had obviously complicated lesions. This rate was as high in adults as in children less then 15 years old. The basic surgical procedure was a more or less extensive partial pericystectomy. The mean hospital stay in surgical environment was 33 days. The mortality rate in this group was 5.9% (15 deaths). 195 patients had pulmonary hydatid cyst disease. 83% of them were less then 30 years of age and 57% were males. The complication rate at presentation was 30% and was similar among adults and children less 15 years of age. Despite the fact that 15% of these patients have been treated by lobectomy, the basic surgical procedure in this group was also a more or less extensive partial pericystectomy. The mean hospital stay in surgical environment was 15 days and the mortality rate 0.5% (one death). About the other locations of the disease, 7 cases of peritoneal ecchinococcosis were recorded. The youngest patient was 15 years old. The interventions necessitated by the whole of these locations represented no less than 8.65% of the surgical procedures performed in our service.