Laparoscopic Treatment for Renal Hydatid Cyst in a Child

Abstract

PURPOSE To present a case of renal hydatid cyst treated by laparoscopic approach. MATERIAL AND METHODS A -5- year old boy presented with left lumbar pain and mass. Physical examination revealed a left abdominal mass. Abdominal ultrasonography demonstrated the cystic mass of the upper pole of left kidney. CT showed a left renal compressive hydatid cyst. Three weeks before surgical procedure, the patient was treated with albendazole (10 mg/kg) two times a day. Under general anesthesia, the patient was placed in lateral decubitus position. Laparoscopic procedures carried out by four trocars (three 5 mm, one 10 mm). The exploration showed a single renal hydatid cyst which was originated from upper pole of the kidney. The aspiration of cyst and injection of saline (20% saline solution) solution were done. The extraction of all hydatid membrane was realised under protection by endobag. After this procedure, Partial upper pole nephrectomy was performed and also the partial nephrectomy material put into the endobag. One drain was inserted to the same place. RESULTS The procedure was successful with no intraoperative complication or occurrence of anaphylactic shock. Operative time was 100 minutes and hospital stay was 5 days. After 6 months follow up period surveillance ultrasonography has not shown any pathologic findings. CONCLUSIONS Even if the renal location of hydatid cyst is very rare, laparoscopic procedure is one of the good alternatives of management strategies.