UP-TO-DATE APPROACHES IN TREATMENT OF HYDATID DISEASE OF THE LIVER IN CHILDHOOD
https://doi.org/10.24884/0042-4625-2013-172-1-071-074
Abstract
Sixty children (age 3–15 years) with hydatid disease of the liver were treated. The patients were divided into 2 equal groups (control and main groups).The hydatid disease of the liver was revealed in 22 (33,6%) patients, combined hydatid disease of the liver and lung were noted in 38 (66,4%) patients. The «capitonnage» of the residual cavity was applied in the control group and omentoplasty — in the main group. Chemotherapy with Nemazol (dose 10–15 mg/kg/day) was carried out. In order to reduce the negative influence of Nemazol on patients and to accelerate reparation processes of liver parenchyma Vobenzyme (2–3 pills/ 3 times/day) was applied. The number of complications was 23.2 % in the control group. The adhesive bowel obstruction was noted in 6.6% of patients, bleeding and jaundice in 3.3%, the residual cavity suppuration in 10%. Complications were registered in the main group in 6.6% of children (the adhesive bowel obstruction in 3.3%, preservation of the residual cavity after a year in 3.3%). The number of relapses in the control group was 6 (12%), there were no relapses in the main group. Thus the procedure of preoperative and postoperative chemotherapy allowed avoidance of the development of relapses of hydatid disease of the liver. Omentoplasty is the most rational method of treatment of residual cavity in surgery of hydatid disease of the liver in children.
Keywords
эхинококкоз,
печень,
лечение,
оментопластика,
дети,
hydatid disease,
liver,
treatment,
omenoplasty,
children
About the Authors
S. V. Minaev
Stavropol State Medical Academy
Russian Federation
Russian Federation
I. N. Gerasimenko
Krai (territorial) children’s clinical hospital
Russian Federation
Russian Federation
N. I. Bykov
Krai (territorial) children’s clinical hospital
Russian Federation
Russian Federation
S. V. Timofeev
Stavropol State Medical Academy
Russian Federation
Russian Federation
References
1. Вафин А. З., Левченко Е. В., Айдамиров А. Н. Прогнозирование и профилактика инфекционно-воспалительных послеоперационных осложнений хирургии эхинококкоза печени // Проблемы эхинококкоза. Махачкала, 2000. С. 24–29.
2. Гумеров А. А., Ишимов Ш. С., Гумеров М. И., Шангареева Р. Х. Диагностические ошибки при эхинококкозе лёгких у детей // Материалы науч.-практ. конф., посвящ. 30-летию РДКБ. Уфа, 2002. С. 162–164.
3. Гумеров А. А., Шангареева Р. Х., Мамлеев И. А., Сатаев В. У. Лапароскопические эхинококкэктомии при поражении печени у детей // Детская хир. 1999. № 2. С. 27–30.
4. Емельянов С. И., Хамидов М. А. Эндовидеохирургия гидатидных кист и остаточных полостей при эхинококкозе печени // Эндоскоп. хир. 2000. № 1. С. 13–15.
5. Кононов B. C., Мыкыев К. М. Эхинококкоз печени у детей // Детская хир. 1999. № 2. С. 24–27.
6. Пулатов А. Т. Эхинококкоз в детском возрасте // Детская хир. 2004. № 5. С. 28–32.
7. Шангареева Р. Х., Гумеров А. А., Ишимов Ш. С. и др. Диагностика и хирургическое лечение эхинококкоза печени у детей // Вестн. хир. 2007. № 1. С. 44–50.
8. Altas M., Aras M., Serarslan Y. et al. A medically treated multiple cerebral hydatid cyst disease // J. Neurosurg. Sci. 2010. Vol. 54, № 2. P. 79–82.
9. Gocan H., Surd A., Dobrescu I., Pop E. The role of ultrasonography in Albendazole treatment of hydatid liver cyst monitoring in children — three case reports // Med. Ultrason. 2010. Vol. 12, № 4. P. 340–344.
10. Oral A., Yigiter M., Demirci E. et al. A case of undifferentiated embryonic liver sarcoma mimicking cystic hydatid disease in an endemic region of the world // J. Pediatr. Surg. 2011. Vol. 46, № 11. P. 5–9.
11. Reyes M. M., Taramona C., Saire-Mendoza M. et al. Disease awareness and knowledge in caregivers of children who had surgery for cystic hydatid disease in Lima, Peru // Trop. Med. Int. Health. 2010. Vol. 15, № 12. P. 1533–1536.
12. Sekulic S., Sekulic-Frkovic A. S., Secen S. et al. Liver hydatidosis — surgical treatment // Hepatogastroenterology. 2011. Vol. 58, № 109. P. 1343–1348.
13. Tarnovetchi C., Aprodu G. S., Oancea M. Diagnosis and treatment of abdominal hydatid cysts in children. A multicentric study // Rev. Med. Chir. Soc. Med. Nat. Iasi. 2010. Vol. 114, № 4. P. 1087–1091.
14. Yang G., Wang X., Mao Y., Liu W. Case report of primary retroperitoneal hydatid cyst // Parasitol. Int. 2011. Vol. 60, № 3. P. 333–334.
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For citations:
Minaev S.V., Gerasimenko I.N., Bykov N.I., Timofeev S.V. UP-TO-DATE APPROACHES IN TREATMENT OF HYDATID DISEASE OF THE LIVER IN CHILDHOOD. Grekov's Bulletin of Surgery. 2013;172(1):071-074. (In Russ.) https://doi.org/10.24884/0042-4625-2013-172-1-071-074
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