Diagnosis and Surgical Treatment of Renal Hydatid Disease: a Retrospective Analysis of 30 Cases |
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Authors: | Mulati Rexiati Abudurezhake Mutalifu Baihetiya Azhati Wenguang Wang Honglin Yang Ilyar Sheyhedin Yujie Wang |
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Institution: | 1. Department of Urology, First Affiliated Hospital of Xin Jiang Medical University, Urumqi, Xin Jiang, China.; 2. Yili Friendship Hospital, Yi Ning, Xin Jiang,China.; 3. Department of Thoracic Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.; Fondazione IRCCS Ospedale Maggiore Policlinico & Fondazione D''Amico per la Ricerca sulle Malattie Renali, Italy, |
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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. |
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