Choice of methods of surgical treatment of liver echinococcosis
DOI:
https://doi.org/10.11603/2414-4533.2016.4.7195Abstract
The aim of the work was to improve the results of surgical treatment of patients with hepatic echinococcosis.
The study is based on the experience of surgical treatment of 427 patients with liver echinococcosis of various localization, operated in the Clinic of II Samarkand Medical Institute from 2003 to 2015. In 2003–2006 we operated 154 ( 36.1 % ) patients. These patients were in the control group. The comparison group included 134 ( 31.4 % ) patients operated in 2007–2010. The study group included 139 ( 32.5 % ) patients operated in 2011–2015. Compared with the years 2003–2006 the frequency of postoperative complications decreased almost in 5 times – from 18.4 % to 4.0 %. Echinococcosis relapses in late terms after surgery occurred in 12.9 % of patients and in the group operated in 2003–2006, this figure reached 28.2 %. In subsequent years, against the backdrop of intra- and postoperative prevention of recurrence of the disease in the control group was reduced to 8.8 %, and in the main group reduced to zero. Among the most vivid and germicides skoleсsoсide quick impact provides 80–100 % glycerol, heated to 70°C, which causes destructive changes in the adjacent parenchyma. The surgery of the liver echinococcosis preference should be given the topical minimal access, the possibility of which can be greatly enhanced by conducting intraoperative ultrasound and videoendoscopy assisting.
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