title: Renal hydatid cyst treatment: retroperitoneoscopic "closed cyst" pericystectomy.
abstract: Cystic hydatid disease is an endemic disease caused by the larval form of Echinococcus spp. Isolated renal involvement is extremely rare. The treatment methods for renal hydatid disease require some form of intervention, ranging from traditional open techniques to laparoscopic techniques. Herein, we present a large hydatid cyst in the lower pole of the left kidney in a 43-year-old male patient who was treated by the "closed cyst" method via the retroperitoneal laparoscopic approach to prevent soiling of the peritoneal cavity. To our knowledge, this is the first case of a renal hydatid cyst treated by preserving the renal parenchyma by pericystectomy via the retroperitoneoscopic laparoscopic approach in an adult patient. No complications occurred during the perioperative and postoperative periods. After 9 months of follow up, the patient was asymptomatic with no evidence of clinical recurrence. Retroperitoneoscopic laparoscopic closed cyst pericystectomy can be an alternative minimally invasive treatment technique for the treatment of renal hydatid disease.
authors.affiliation: Department of Urology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
authors.forename: Ender
authors.initials: E
authors.lastname: Ozden
authors.forename: Yakup
authors.initials: Y
authors.lastname: Bostanci
authors.forename: Mehmet Necmettin
authors.initials: MN
authors.lastname: Mercimek
authors.forename: Yarkin Kamil
authors.initials: YK
authors.lastname: Yakupoglu
authors.forename: Ali Faik
authors.initials: AF
authors.lastname: Yilmaz
authors.forename: Saban
authors.initials: S
authors.lastname: Sarıkaya
mesh_terms: D000328:Adult; D004443:Echinococcosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000601:surgery; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000469:parasitology / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D012187:Retroperitoneal Space; D014057:Tomography, X-Ray Computed