Capitonnage Versus Non‐Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta‐Analysis
ABSTRACT Background and Aim Pulmonary hydatid disease, caused by Echinococcus granulosus, presents significant clinical challenges, particularly in pediatric populations. Surgical intervention remains the gold standard for treatment, with various techniques employed, including capitonnage and non‐ca...
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Wiley
2024-12-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.70235 |
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| author | Mohammad Javad Boozhmehrani Seyed Sobhan Bahreiny Mohammad Navid Bastani Mahdi Amraei Zahra Mansouri Razieh Kazemzadeh Majid Farhadi Akbar Hoseinnejad Ali Pirsadeghi Zahra Asadi Afshin Bighamian Gilda Eslami |
| author_facet | Mohammad Javad Boozhmehrani Seyed Sobhan Bahreiny Mohammad Navid Bastani Mahdi Amraei Zahra Mansouri Razieh Kazemzadeh Majid Farhadi Akbar Hoseinnejad Ali Pirsadeghi Zahra Asadi Afshin Bighamian Gilda Eslami |
| author_sort | Mohammad Javad Boozhmehrani |
| collection | DOAJ |
| description | ABSTRACT Background and Aim Pulmonary hydatid disease, caused by Echinococcus granulosus, presents significant clinical challenges, particularly in pediatric populations. Surgical intervention remains the gold standard for treatment, with various techniques employed, including capitonnage and non‐capitonnage methods. This systematic review and meta‐analysis evaluates the efficacy and safety of capitonnage compared to non‐capitonnage techniques in children. Methods This systematic review and meta‐analysis followed the PRISMA guidelines to ensure methodological rigor. A comprehensive literature search was conducted across PubMed, Web of Science, and Scopus databases to identify relevant studies. To assess pooled event rates and corresponding 95% confidence intervals for both complications and cure rates, we employed a random‐effects model, allowing for variability among study populations. All statistical analyses were conducted using Comprehensive Meta‐Analysis software (version 3.7). Results Thirteen studies met the established inclusion criteria for analysis. The overall complication rate was 46%, with significantly lower rates in the capitonnage group (24%) compared to the non‐capitonnage group (58%). The cure rate was higher in the capitonnage group (83.5%) than in the non‐capitonnage group (65.2%). Meta‐regression analysis indicated that complication rates were influenced by cyst diameter, study publication date, mean age, and type of surgery. Conclusion The findings suggest that capitonnage is associated with better outcomes in terms of lower complication rates and higher cure rates. This evidence supports the use of capitonnage as a preferred surgical technique for managing pulmonary hydatid disease in children. Further research is recommended to explore the long‐term outcomes and potential benefits of combining surgical and pharmacological treatments. |
| format | Article |
| id | doaj-art-db3686d799864f48913dc9720ffa0f4e |
| institution | DOAJ |
| issn | 2398-8835 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-db3686d799864f48913dc9720ffa0f4e2025-08-20T02:39:52ZengWileyHealth Science Reports2398-88352024-12-01712n/an/a10.1002/hsr2.70235Capitonnage Versus Non‐Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta‐AnalysisMohammad Javad Boozhmehrani0Seyed Sobhan Bahreiny1Mohammad Navid Bastani2Mahdi Amraei3Zahra Mansouri4Razieh Kazemzadeh5Majid Farhadi6Akbar Hoseinnejad7Ali Pirsadeghi8Zahra Asadi9Afshin Bighamian10Gilda Eslami11Department of Medical Parasitology, Faculty of Medicine Jundishapur University of Medical Sciences Ahvaz IranStudent Research Committee Ahvaz Jundishapur University of Medical Sciences Ahvaz IranStudent Research Committee Ahvaz Jundishapur University of Medical Sciences Ahvaz IranStudent Research Committee Ahvaz Jundishapur University of Medical Sciences Ahvaz IranStudent Research Committee Ahvaz Jundishapur University of Medical Sciences Ahvaz IranStudent Research Committee Ahvaz Jundishapur University of Medical Sciences Ahvaz IranEnvironmental Health Research Center Lorestan University of Medical Sciences Khorramabad IranStudent Research Committee Ahvaz Jundishapur University of Medical Sciences Ahvaz IranStudent Research Committee Ahvaz Jundishapur University of Medical Sciences Ahvaz IranStudent Research Committee Ahvaz Jundishapur University of Medical Sciences Ahvaz IranClinical Research Development Unit, Golestan Hospital Ahvaz Jundishapur University of Medical Sciences Ahvaz IranDepartment of Parasitology and Mycology School of Medicine, Isfahan University of Medical Sciences Isfahan IranABSTRACT Background and Aim Pulmonary hydatid disease, caused by Echinococcus granulosus, presents significant clinical challenges, particularly in pediatric populations. Surgical intervention remains the gold standard for treatment, with various techniques employed, including capitonnage and non‐capitonnage methods. This systematic review and meta‐analysis evaluates the efficacy and safety of capitonnage compared to non‐capitonnage techniques in children. Methods This systematic review and meta‐analysis followed the PRISMA guidelines to ensure methodological rigor. A comprehensive literature search was conducted across PubMed, Web of Science, and Scopus databases to identify relevant studies. To assess pooled event rates and corresponding 95% confidence intervals for both complications and cure rates, we employed a random‐effects model, allowing for variability among study populations. All statistical analyses were conducted using Comprehensive Meta‐Analysis software (version 3.7). Results Thirteen studies met the established inclusion criteria for analysis. The overall complication rate was 46%, with significantly lower rates in the capitonnage group (24%) compared to the non‐capitonnage group (58%). The cure rate was higher in the capitonnage group (83.5%) than in the non‐capitonnage group (65.2%). Meta‐regression analysis indicated that complication rates were influenced by cyst diameter, study publication date, mean age, and type of surgery. Conclusion The findings suggest that capitonnage is associated with better outcomes in terms of lower complication rates and higher cure rates. This evidence supports the use of capitonnage as a preferred surgical technique for managing pulmonary hydatid disease in children. Further research is recommended to explore the long‐term outcomes and potential benefits of combining surgical and pharmacological treatments.https://doi.org/10.1002/hsr2.70235capitonnageEchinococcus granulosuspulmonary hydatidsurgery |
| spellingShingle | Mohammad Javad Boozhmehrani Seyed Sobhan Bahreiny Mohammad Navid Bastani Mahdi Amraei Zahra Mansouri Razieh Kazemzadeh Majid Farhadi Akbar Hoseinnejad Ali Pirsadeghi Zahra Asadi Afshin Bighamian Gilda Eslami Capitonnage Versus Non‐Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta‐Analysis Health Science Reports capitonnage Echinococcus granulosus pulmonary hydatid surgery |
| title | Capitonnage Versus Non‐Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta‐Analysis |
| title_full | Capitonnage Versus Non‐Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta‐Analysis |
| title_fullStr | Capitonnage Versus Non‐Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta‐Analysis |
| title_full_unstemmed | Capitonnage Versus Non‐Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta‐Analysis |
| title_short | Capitonnage Versus Non‐Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta‐Analysis |
| title_sort | capitonnage versus non capitonnage in pediatric pulmonary hydatid disease a systematic review and meta analysis |
| topic | capitonnage Echinococcus granulosus pulmonary hydatid surgery |
| url | https://doi.org/10.1002/hsr2.70235 |
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