Pulmonary Cysts Seen in Adults
These may be in the form of simple pulmonary cysts caused by some factors such as smoking and air pollution, infection-linked cysts (such as hydatic cyst – dog cyst), cysts that may occur after a trauma, or cysts which are caused by congenital disorders but appear in adulthood.
Treatment Methods for Pulmonary Cysts
Small pulmonary cysts that do not show symptoms (detected by chance) may not require treatment. Patients are followed closely, in order to ensure that the cyst will not grow and cause any problem.
- Hydatid cysts are required to be cured, regardless of whether there is any complaint from the patient.
- In cystic fibrosis, lung transplantation is performed in cases that cannot be controlled with medical treatment.
Surgical intervention is made with intent to eliminate the complications (problems) created by pulmonary cyst, or prevent the complications (bleeding, infection, evolving into cancer, creating pressure on the surrounding structures etc.) that it might create in the future.
What do the International Sources Recommend?
What are the Surgery Methods?
.CLOSED OPERATION (VATS) should be preferred to open operation, for pulmonary cyst surgeries.
Open-surgery – thoracotomy:
The thoracic cage is split between the ribs, at the affected side of the lung. The part of the lung that contains the cyst is determined, and then the cyst itself or the lobe or segment where it is located is removed. After the controls for bleeding and air leakage, 1 drain is placed and the layers are closed in accordance with the anatomical layout.
Endoscopic (CLOSED) Surgery – VATS:
In this method, the processes done in an open surgery are done through 2 or 3 small incisions, without making a large opening between the ribs. This method allows for a less postoperative pain and shorter hospitalization period, and enables the patient to return to his/her normal life faster.
Closed Operation with a Single-Incision (Single-Port VATS):
In this method that we use, the operation is carried out through just a single port of 2 cm. After the operation, the patient can return to his/her normal life within 1 week.
You can watch the video of the single-incision VATS procedure that we have prepared for specialist physicians and their assistants.
What are the Risks of Surgery?
The risk of surgery is low. However, complications may occur depending on the patient’s age, general condition and additional diseases (heart diseases, hypertension, dyspnea, diabetes, renal diseases etc.). After the surgery, an air leak from the lung, infections and a prolonged hospitalization period may be required.
All the risks should be determined in advance, and then the required precautions should be taken to minimize the risks.
Key to the Success: Surgical Team
Acibadem University, Faculty of Medicine
Thoracic Surgery Department
How Many Days Should I Stay in Hospital for Surgery?
On the average, 4 to 5 days of hospitalization is applied after an open surgery, while 2 or 3 days of hospitalization is applied after a closed surgery.