Retroperitoneoscopic laparoscopic treatment of renal hydatid cyst in a child
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A 17-year-old girl with the diagnosis of right renal hydatid disease was treated by retroperitoneoscopic technique. No complications occurred at peroperative and postoperative periods. There were no clinical symptoms and radiologic pathologic causes to show recurrence at postoperative second year...
. This is the first case that is reported via retroperitoneoscopic laparoscopic approach at the treatment of renal hydatidosis in children. We prefer retroperitoneoscopic approach to avoid intraperitoneal contamination. Retroperitoneoscopic laparoscopic treatment can be an alternative treatment technique at renal hydatidosis therapy because of its advantages to conventional surgery, Although further reports of its long-term outcomes and additional experiences are necessary.
reason, objective, purpose
After the exploration, the adhesions between periton and cysts that have been formed with previous inflammations were dissected meticulously. Then the cysts were punctured and aspirated. Cystotomy was performed via hooc cautery, and germinal layer and vesicular cysts were aspirated subsequently without intraabdominal contamination. We extended cystotomy and provided unroofing of the cyst wall. All cyst wall, germinal layer, and vesicular cysts were aspirated without using an endobag. Consequently, cyst cavity was irrigated and aspirated with 3% sodium chloride, and a Hemovac drain was indwelled to residual cavity.
Three trocars (5, 5, and 10 mm) were used under the vision of a 30° telescope. Ten-millimeter trocar was placed in the subcostal posterior axillar midline. The retroperitoneal access was created with balloon dilatation. Then two 5-mm trocar were placed to midaxillar and anterior axillar midline with triangular principle.