<i>Case Report:</i> Laparoscopic Partial Nephrectomy for Isolated Renal Hydatid Disease

Basiri, Abbas; Nadjafi-Semnani, Mohammad; Noor-Alizadeh, Akbar

doi:10.1089/end.2006.20.24

Cited by 22 publications

(13 citation statements)

References 6 publications

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“…This case is unique as isolated renal hydatid is rare and there are very few reports of laparoscopic management for this entity. [6]…”

Section: Resultsmentioning

confidence: 99%

Isolated renal hydatid cyst managed by laparoscopic transperitoneal nephrectomy

Shah¹,

Ganpule²,

Desai³

2009

Indian J Urol

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Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestode Echinococcus granulosus. Isolated renal involvement is extremely rare. A 45-year-old female, working as a farmer, presented with vague abdominal pain and hydatiduria. Ultrasonography of the abdomen revealed hydatid cyst arising from the right kidney. Computerized tomography scan of the abdomen confirmed the findings. Laparoscopic transperitoneal nephrectomy was performed. Isolated right renal hydatid cyst was removed in toto. Microscopic examination confirmed the diagnosis of hydatid cyst. Transperitoneal laparoscopic approach gives a better working space which helped us to remain outside Gerota's fascia and prevent subsequent cyst rupture.

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“…This case is unique as isolated renal hydatid is rare and there are very few reports of laparoscopic management for this entity. [6]…”

Section: Resultsmentioning

confidence: 99%

Isolated renal hydatid cyst managed by laparoscopic transperitoneal nephrectomy

Shah¹,

Ganpule²,

Desai³

2009

Indian J Urol

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“…Laparoscopic nephrectomy entails risk of cyst rupture, dissemination, and incomplete removal of the hydatid cyst. [11] Extraperitoneal nephrectomy is favored which is devoid of above risks. It is preceded by cystectomy where first the cyst is punctured; content aspirated then filled with scolicidal like hydrogen peroxide or 10% povidone-iodine for 5 min.…”

Section: Discussionmentioning

confidence: 99%

Primary renal echinococcosis

et al. 2017

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Echinococcosis is a parasitic infection caused by the larval stage of a cestode Echinococcus granulosus and is endemic in sheep farming regions of developing countries. It manifests as hydatid cyst and most commonly is found in liver followed by lungs. Renal hydatid cyst is rare and amounts for 2% of all cases. There are no specific clinical manifestations, and hence diagnosis of renal hydatid disease is missed out easily without imaging. We report a case of 50-year-old female who had 6 months history of lower abdominal pain with hematuria, found to have right renal hydatid cyst on imaging which was treated with right nephrectomy with pre- and post-operative albendazole treatment.

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“…In cases in which the cyst is located at one pole of the kidney, laparoscopic partial nephrectomy is the preferred approach because it preserves the normal renal parenchyma. 46,47 Laparoscopic cystopericystectomy is another option that has been described in the literature, and two cases have been reported so far. 47,48 Laparoscopic transperitoneal aspiration of the cyst, followed by deroofing of the cyst wall and endocyst removal, has been reported by Prabhudessai et al 49 We used this procedure in two cases (cases 1 and 3).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Renal Hydatid Cyst

Aggarwal

Bansal

2014

JSLS

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Introduction:Renal involvement by hydatid disease is uncommon. The patients may be asymptomatic or present with flank pain, hematuria, and hypertension. Surgery is the mainstay of treatment, and options include cyst deroofing, partial nephrectomy, and total nephrectomy. We share our experience of laparoscopic management of 3 patients with large hydatid cysts of the kidney and review the literature.Case Description:Three patients with hydatid cysts of the kidney were treated at our institution between 2008 and 2010. In all 3 patients, hydatid disease involved the left kidney. One of the three cases also had concomitant liver involvement. Abdominal pain was the predominant symptom. A flank mass was palpable in 2 patients. The diagnosis was confirmed on abdominal ultrasonography and computed tomography in all 3 patients. Laparoscopic management was successfully completed in 2 patients. A large intrahepatic cyst in 1 patient prompted conversion to an open procedure. A special hydatid trocar-cannula system helps in eliminating the possibility of spillage from the cyst while puncturing and aspirating the cyst.Discussion:There are few reports on laparoscopic management of this uncommon disease of the kidney. In our series the laparoscopic management was attempted in all 3 cases. The procedures included laparoscopic aspiration of the cyst contents along with subtotal excision of the ectocyst in 2 patients and nephrectomy in 1 patient. The latter case had to be converted to an open procedure because of inaccessibility of the intrahepatic liver hydatid cyst. Laparoscopic management of renal hydatid cysts is feasible and safe.

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Case Report: Laparoscopic Partial Nephrectomy for Isolated Renal Hydatid Disease

Cited by 22 publications

References 6 publications

Isolated renal hydatid cyst managed by laparoscopic transperitoneal nephrectomy

Isolated renal hydatid cyst managed by laparoscopic transperitoneal nephrectomy

Primary renal echinococcosis

Laparoscopic Management of Renal Hydatid Cyst

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