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Video-assisted surgery in the management of hydatid renal cyst in children
Amine Ksiaa1, Hayet Zitouni, Ahmad Zrig
1Department of Pediatric Surgery, Fattouma bourguiba Hospital, Monastir 5000 Tunisia. amineks@yahoo.fr
Insights
Laparoscopic surgery for pediatric renal hydatid disease offers minimally invasive options. Transperitoneal laparoscopy suits complex cases, while retroperitoneoscopy is best for isolated renal hydatid cysts.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Parasitic Diseases
Background:
- Renal hydatid disease is uncommon in pediatric patients.
- Traditional open surgery has been the primary treatment.
- Minimally invasive surgical techniques are gaining traction.
Observation:
- This study reports on the laparoscopic management of renal hydatid cysts in four children.
- Three cases utilized a transperitoneal laparoscopic approach.
- One case involved a retroperitoneoscopic approach.
Findings:
- Transperitoneal laparoscopy is suitable for managing renal hydatid cysts with concurrent intraperitoneal disease.
- Retroperitoneoscopy is indicated for isolated renal hydatid cysts.
- Laparoscopic techniques provide viable alternatives to open surgery in pediatric renal echinococcosis.
Implications:
- Laparoscopic approaches can be tailored based on the extent of hydatid disease.
- These findings may guide surgical decision-making for pediatric renal hydatid cysts.
- Further research into long-term outcomes of minimally invasive treatments is warranted.
Abstract:
Renal hydatid disease is rare in children. Open surgery is the traditional method of treatment, but minimally invasive techniques are being increasingly used. Herein, we report our experience with laparoscopic management of renal hydatid cyst in four children via a transperitoneal approach in three cases and a retroperitoneoscopy in one. We conclude that transperitoneal laparoscopy can be offered for the management of hydatid renal cyst associated with other intraperitoneal localizations, whereas the retroperitoneoscopy is limited for the treatment of isolated hydatid renal cysts.
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