Simultaneous combined surgery for hepatic and renal cystic echinococcosis: a study on 11 cases / 中华普通外科杂志

ABSTRACT

Objective:To investigate the feasibility, safety and efficacy of simultaneous combined surgery for hepatic and renal cystic echinococcosis (CE).Methods:Clinical data of consecutive 11 hepatic and renal CE patients undergoing surgical treatment at the First Affiliated Hospital of Xinjiang Medical University from Oct 2009 to Feb 2017 were analyzed retrospectively.Results:There were 8 males and 3 females, median age was 44 years (22-60 years). Main symptoms were abdominal and/or flank pain and fever; nine and 2 patients respectively had cysts in liver plus right kidney and left kidney; median volume of cyst load for each patient was 944.1 cm 3 (67.1-9 310.4 cm 3). All patients were treated simultaneously by combined surgery, including total and subtotal cystectomies, hepatic or renal resections as well as extra lesions resection. All surgeries went uneventfully, radical rate was 63.6% (7/11), There was no postoperative liver or kidney dysfunctions. Median operative time, bleeding and length of hospital stay were 2.5 h (1.4-4.5 h), 100 ml (50-200 ml) and 7 d (5-10 d) respectively. All were followed-up for median 42 mouths (34-123 mouths) and all doing well without disease recurrence. Conclusions:Simultaneous combined surgery for recurrent or primary hepatic and renal double organ CE patients could be a feasible and effective approach.