Surgical management of renal hydatid cyst: a three-center review in diagnosis and management of renal hydatid cyst in Xinjiang / 中华泌尿外科杂志

ABSTRACT

ObjectiveTo evaluate the diagnosis methods and surgical treatment of renal hydatid cyst.MethodsEighty-six cases of renal Echinococcosis were diagnosed and treated in the Urological Department of the First Affiliated Hospital,Xinjiang Medical University,the People's Hospital Of Xinjiang Uygur Autonomous Region and the Friendship Hospital of Yili from Feb.1985 to Apr.2010 were reviewed and analyzed.ResultsAbdominal ultrasonography,CT scan and laboratory immunological tests of renal Echinococcosis showed positive diagnosis rates of 88％,81％ and 85％,respectively.Eighty-five cases were accepted for surgical intervention including; 39 endocystectomies,14 endocystectomies after needle aspiration,15 partial nephrectomies,five intact ectocystectomies and 12 nephrectomies.Fifty-three cases were followed-up from two to 15 years and recurrence was found in seven cases.ConclusionsAbdominal ultrasonography,CT scan and immunological tests are the main methods in the diagnosis of renal Echinococcosis.Surgical management is still the most effective approach in the treatment of renal Echinococcosis.The surgical strategy depends on residual renal function,cyst size,numbers and position of the hydatid cyst.The intact ectocystectomy is the ideal treatment for renal hydatid cyst.