India’s 1st robotic surgery for renal hydatid cyst performed

ST Correspondent
Saturday, 9 September 2017

Hydatid cyst of the kidney is a rare condition caused by the larval stage of echinococcus granulosus. More commonly seen in the liver and lung, it forms 1 to 5 per cent of all hydatid disease in humans.

Pune: A 37-year-old patient couldn’t fathom what was wrong with him. For the past few years, he was suffering from pain in his flank. After multiple tests such as sonographies and CT scans, he was detected with a cyst that almost replaced the right kidney, known as a hydatid cyst, a rare condition seen in only 0.2 per cent of renal cysts.

After the diagnosis, he became the first person in India to have undergone a robotic surgery for a renal hydatid cyst at Ruby Hall Clinic.

Hydatid cyst of the kidney is a very rare condition caused by the larval stage of echinococcus granulosus. It is endemic in parts of the Middle East, South America, Australia, New Zealand, Alaska and stock breeding regions of north-west China and India. More commonly seen in the liver and lung, this disease forms 1 to 5 per cent of all hydatid disease in humans across the world. 

Dr Rajendra Shimpi, Head of Urology division at Ruby Hall Clinic, said, “This is probably the first time in world medical literature that a renal hydatid cyst has been operated upon with robotic assistance. The surgery was a challenge due to the large size of the cyst and the possible severe anaphylactic shock due to accidental spillage of the cystic fluid and the dissemination of the daughter cysts in the abdominal cavity, leading to extensive hydatid disease in the abdominal cavity.”

“In the robot-assisted surgery, the cystic fluid was aspirated with all precautions to avoid spillage of the contents in the abdominal cavity and then scolicidal fluid was injected in the cyst. Carefully, the cyst, along with the germinal layer, was excised. The actual surgery took two hours with a blood loss of less than 100 ml.

Due to the magnification and precision, which can be achieved with the robotic surgery, a part of the kidney could be saved, otherwise the patient would have lost the entire kidney. The patient was discharged on the third post operative day and could resume his duties in 1-2 days as the surgery is done through small holes in the abdominal wall,” he said.

This surgery comes after Ruby Hall Clinic became the only hospital in Pune to have acquired the Da Vinci Si Robot earlier this July. Dr Manisha Karmarkar, Head of Department of Robotic Surgery, Ruby Hall Clinic, said, “Healthcare faces diverse issues of quality, access and cost, many of which can be addressed by appropriate application of technology.

Very few institutions in the country have surgeons who are experts in this type of advanced robotic minimally invasive surgeries. While we have used robotic surgery successfully in the fields of gynaecology, urology and even general surgery to name a few, this very rare case is part of our continued commitment to the advancement of medical technology for the better treatment of the patient and greater efficiency of the hospital.”



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