Abstract
Introduction: Pulmonary hydatid cysts, caused by Echinococcus Granulosus larvae, pose a significant health threat in livestock-raising regions, leading to respiratory symptoms. Surgical excision, involving open thoracotomy and video-assisted thoracoscopic surgery (VATS), is the primary treatment, yet their comparative effectiveness lacks robust evidence. The objective of this study is to compare outcomes of pulmonary hydatid cyst surgery using VATS and ThoracotomyMethods: We conducted a randomized controlled trial (RCT) with 50 patients to compare open thoracotomy and VATS for pulmonary hydatid cysts. Randomization was performed, and data collectors were blinded. Descriptive statistics and regression analysis were used to assess baseline characteristics and adjust for potential confounders.Results: Baseline characteristics were well-balanced between groups. VATS patients experienced reduced postoperative pain and a faster return to work compared to open thoracotomy. Correlation analysis revealed a moderate negative correlation between VATS and postoperative pain scores, as well as time to return to work. Age, gender, smoking, comorbidities, cyst number, and size showed limited correlations.Conclusion: This pilot RCT suggests VATS may offer advantages in reducing postoperative pain and hastening return to work. Larger studies are required for comprehensive clinical guidance.