Intraoperative view of total external capsule excision.

Abstract

<p>View of the hydatid cyst located in the in the left kidney (A); carefully dividing the intact ectocyst through the intra-adventitial space (B); Total cystectomy was performed A wound after complete removal of hydatid (A–B). Communicated with perirenal space during the procedure, and was closed by absorbable sutures and a F14 nephrostomy tube was placed in the calyx. A drainage was placed on perirenal space confirming no significant hemorrhage on surgical field, the wound was closed(C–D). Gross appearance and histopathologic examination of the cystic mass confirmed the hydatid disease, pathological analysis of the resected specimen was positive for scolices of Echinococcus granulosus (E–F).</p