MODERN COMPREHENSIVE DIAGNOSTICS AND SURGICAL TREATMENT OF COMPLICATED FORMS OF LIVER ECHINOCOCCOSIS
https://doi.org/10.24884/0042-4625-2018-177-4-19-22
Abstract
The OBJECTIVE of the study is to evaluate the approaches of surgical treatment of complicated forms of liver echinococcosis. MATERIAL AND METHODS. During the period from 2010 to 2016, surgical treatment of liver echinococcosis was performed in 202 patients, 161 patients of them (79.7 %) had primary echinococcosis, and 41 patients (20.3 %) had recurrent echinococcosis. The work is based on the retrospective analysis of the results of preoperative examination, intraoperative ultrasound examination and treatment of 46 (22.8 %) patients with complicated echinococcosis – with isolated liver damage or in combination with other localizations. 8 patients had concomitant complications. RESULTS. Cyst suppuration is the most common among the complicated forms of liver echinococcosis. CONCLUSION. Complicated liver echinococcosis should be operated in the specialized institution with modern diagnostic and treatment equipment and highly qualified specialists.
About the Authors
D. Sh. Sapaev
Urgench Branch of the Tashkent Medical Academy Ministry of Health of Uzbekistan
Uzbekistan
Uzbekistan
Urgench.
R. Yu. Ruzibaev
Urgench Branch of the Tashkent Medical Academy Ministry of Health of Uzbekistan
Uzbekistan
Urgench.
Uzbekistan
Urgench.
F. R. Yakubov
Urgench Branch of the Tashkent Medical Academy Ministry of Health of Uzbekistan
Uzbekistan
Urgench.
Uzbekistan
Urgench.
References
1. Shevchenko Yu. L., Nazyrov F. G. Khirurgiya ekhinokokkoza. M.: Dynastia, 2016. 288 p.
2. Shevchenko Yu. L., Stoiko Yu. M., Levchuk A. L. et al. Diagnostika i lechenie oslozhnennykh form ekhinokokkoza pecheni // Vestnik Natsional’nogo mediko-khirurgicheskogo Tsentra im. N. I. Pirogova. 2012. Vol. 7, № 2. P. 22–27.
3. Gaybatov S. P. Klinika i lecheniye nagnoivshegosya ekhinokokkoza pecheni // Khirurgiya: Zhurnal im. N. I. Pirogova. 2006. № 6. P. 16–18.
4. Nazyrov F. G., Devyatov A. V., Makhmudov U. M. Spornye voprosy i prichiny povtornykh operatsii pri ekhinokokkoze pecheni // Annaly khirurgicheskoi gepatologii. 2007. Vol. 12, № 1. P. 29–35.
5. Chautems R. Surgical management and long-term outcome of complicated liver hydatid cysts caused by Echinococcus granulos // Surgery. 2005. Vol. 137. P. 312–316.
6. Abdullayev A. G., Agayev R. M. Lechebnaya taktika pri posleoperatsionnykh oslozhneniyakh u bol’nykh ekhinokokkozom pecheni s porazheniyem zhelchnykh protokov // Khirurgiya: Zhurnal im. N. I. Pirogova. 2006. № 7. Р. 21–26.
7. Dzhabrailov D. A., Musayev G. Kh., Kharanas S. S. Ekhinokokkoz pecheni, oslozhnennyi tsistobiliarnymi svishchami: diagnostika i taktika lecheniya // Annaly khirurgii. 2008. № 4. P. 5–9.
8. Mukantayev T. Ye. Khirurgicheskaya taktika pri ekhinokokkoze pecheni, oslozhnennom proryvom v bryushnuyu polost’ // Vestnik Dagestanskoy gosudarstven- noy meditsinskoy akademii. 2017. № 1 (22). Р. 43–47.
9. Akhmedov I. G. Retsidiv ekhinokokkovoi bolezni: patogeneticheskie aspekty, profilaktika, rannyaya diagnostika i lechenie [Recurrence of hydatid disease: pathogenetic aspects, prevention, early diagnosis and treatment] // Khirurgiya. 2006. № 4. Р. 52–57.
10. Al’perovich B. I. Khirurgiya pecheni. M.: GEOTAR-Media, 2008. 356 р.
Review
For citations:
Sapaev D.Sh., Ruzibaev R.Yu., Yakubov F.R. MODERN COMPREHENSIVE DIAGNOSTICS AND SURGICAL TREATMENT OF COMPLICATED FORMS OF LIVER ECHINOCOCCOSIS. Grekov's Bulletin of Surgery. 2018;177(4):19-22. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-4-19-22
Views:
870
Email this article 