Demirdag Cetin, Citgez Sinharib, Gurbuz Ahmet, Onal Bulent, Talat Zubeyr
Department of Urology, Cerrahpasa School of Medicine, University of Istanbul , Istanbul, Turkey .
J Laparoendosc Adv Surg Tech A. 2018 Sep;28(9):1083-1088. doi: 10.1089/lap.2018.0048. Epub 2018 Apr 11.
To determine the effectiveness of treatment via laparoscopic approach and to present the long-term outcomes in patients with isolated renal hydatid cyst.
We reviewed the data of 11 patients who underwent laparoscopic treatment for isolated renal hydatid cyst between March 2004 and January 2017. Demographic characteristics and clinical, laboratory, and radiological findings of cases were examined. Mann-Whitney U and t-test were used in statistical analysis.
The mean age of the patients was 36.7 years (25-51). The common complaint of the patients was lumbar pain and 9 patients had a palpable mass. It was identified that serologic evaluation of Echinococcus granulosus was positive in 5 patients. The mean cyst size was determined as 72 mm (40-150). The mean operation time was 128 minutes (120-150) while the length of hospital stay was 4 days (3-13). Perioperative major complication was not observed in any of the patients. The levels of hematocrit and creatinine were measured, 37.8 (26-43) and 0.93 (0.5-1.3), respectively, in the postoperative period, while these levels were 39 (26-45) and 0.90 (0.5-1.3) in the preoperative period and there was no statistically significant difference (P > .05). The mean follow-up time was 84 months (40-166). No relapses were observed in any patients.
The treatment of renal hydatid cyst disease with laparoscopic approach is a safe and effective method. There was no recurrence in any of the patients in the long-term period. Further studies including a large series of patients are needed.
确定腹腔镜手术治疗孤立性肾包虫囊肿的有效性，并展示其长期疗效。
我们回顾了2004年3月至2017年1月期间接受腹腔镜治疗孤立性肾包虫囊肿的11例患者的数据。检查了病例的人口统计学特征以及临床、实验室和影像学检查结果。采用曼-惠特尼U检验和t检验进行统计分析。
患者的平均年龄为36.7岁（25 - 51岁）。患者的常见主诉为腰痛，9例患者可触及肿块。经鉴定，5例患者细粒棘球绦虫血清学评估呈阳性。囊肿平均大小确定为72毫米（40 - 150毫米）。平均手术时间为128分钟（120 - 150分钟），住院时间为4天（3 - 13天）。所有患者均未观察到围手术期重大并发症。术后血细胞比容和肌酐水平分别为37.8（26 - 43）和0.93（0.5 - 1.3），术前这些水平分别为39（26 - 45）和0.90（0.5 - 1.3），差异无统计学意义（P＞0.05）。平均随访时间为84个月（40 - 166个月）。所有患者均未观察到复发情况。
腹腔镜手术治疗肾包虫囊肿疾病是一种安全有效的方法。长期来看，所有患者均未复发。需要开展包括大量患者的进一步研究。
