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Review
. 2024 Dec 4;7(12):e70235.
doi: 10.1002/hsr2.70235. eCollection 2024 Dec.

Capitonnage Versus Non-Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta-Analysis

Mohammad Javad Boozhmehrani  1   2 , Seyed Sobhan Bahreiny  2 , Mohammad Navid Bastani  2 , Mahdi Amraei  2   3 , Zahra Mansouri  2   3 , Razieh Kazemzadeh  2 , Majid Farhadi  4 , Akbar Hoseinnejad  2 , Ali Pirsadeghi  2 , Zahra Asadi  2 , Afshin Bighamian  5 , Gilda Eslami  6
Affiliations
Review

Capitonnage Versus Non-Capitonnage in Pediatric Pulmonary Hydatid Disease: A Systematic Review and Meta-Analysis

Mohammad Javad Boozhmehrani et al. Health Sci Rep. .

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.

Keywords: Echinococcus granulosus; capitonnage; pulmonary hydatid; surgery.

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Conflict of interest statement

The authors declare no conflict of interest. There are no financial or personal relationships that could inappropriately influence or bias the content of the research.

Figures

Figure 1
Figure 1
PRISMA flow chart showing the study selection process.
Figure 2
Figure 2
Forest plots of Event rates of outcomes (complications), between Capitonnage and non‐Capitonnage surgeries.
Figure 3
Figure 3
Forest plots of event rates of outcomes (cure), between capitonnage and non‐capitonnage surgeries.
Figure 4
Figure 4
Meta‐regression of Event rate of Complications in Surgical management of pulmonary hydatid cysts. (A) Based on cyst diameter, (B) Based on study publication date, (C) Based on mean age date, (D) Based on type of operation (larger circles indicate larger sample size), and (E) Based on Total sample size. (A) Based on Cyst diameter. (B) Based on study publication date. (C) Based on Mean Age date. (D) Based on type of operation. (E) Based on total sample size.
Figure 5
Figure 5
Publication bias in the studies for the event rate of complications (A) and cure (B).
See this image and copyright information in PMC

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