title: Diagnosis and surgical treatment of renal hydatid disease: a retrospective analysis of 30 cases.
abstract: Echinococcosis (CE) is an infection which is caused by the larval stage of a tapeworm and is endemic in stockbreeding regions of developing countries. The kidney is the most commonly affected organ in the urinary tract. However, reports on renal hydatid disease are limited in the literature, and usually there are no specific clinical characteristics and promising operative methods. The purpose of this study is to assess the most appropriate surgical technique for the patient with urinary tract CE. We retrospectively analyzed thirty patients with renal hydatid cysts who received different surgical treatments in the urology department of the First Affiliated Hospital of Xinjiang Medical University from February 1985 to April 2010. Twenty patients were males and ten were females. The diagnostic accuracy was 74%, 87.5%, and 66.6% respectively by using of ultrasound, CT, and laboratory tests. Thirty patients were followed up for 1-15 years after surgery. One patient experienced a recurrence of renal CE. The ultrasound, CT, and immunological tests are an important means of diagnosis. The surgical treatment principle of renal hydatid should be based on residual renal function, hydatid cyst size, number, location, and surgical techniques to determine the surgical plan to retain the renal function.
authors.affiliation: Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China.
authors.forename: Mulati
authors.initials: M
authors.lastname: Rexiati
authors.affiliation: Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China.
authors.forename: Abudurezhake
authors.initials: A
authors.lastname: Mutalifu
authors.affiliation: Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China.
authors.forename: Baihetiya
authors.initials: B
authors.lastname: Azhati
authors.affiliation: Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China.
authors.forename: Wenguang
authors.initials: W
authors.lastname: Wang
authors.affiliation: Yili Friendship Hospital, Yi Ning, Xin Jiang,China.
authors.forename: Honglin
authors.initials: H
authors.lastname: Yang
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
authors.forename: Ilyar
authors.initials: I
authors.lastname: Sheyhedin
authors.affiliation: Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China.
authors.forename: Yujie
authors.initials: Y
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D002648:Child; D002675:Child, Preschool; D002681:China; D003951:Diagnostic Errors; D004443:Echinococcosis / Q000175:diagnosis* / Q000601:surgery*; D004446:Echinococcus; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis* / Q000469:parasitology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D055815:Young Adult