doi: 10.25005/2074-0581-2014-16-2-13-17
Optimization of surgical treatment of hepatic echinococcosis

U.A. Kurbanov, A.A. Davlatov, S.M. Janobilova, J.D. Jononov

Chair of Surgical Diseases №2 Avicenna TSMU
Republican Scientific Center of Cardiovascular Surgery

Experience of surgical treatment 96 patients with liver ehonococcosis operated for recent 15 years is summarized. Age of patients ranged from 13 to 55 years. Women suffered more often (60 cases – 62,5%) than men (21 cases – 37,5%). Rural people who had contact with domestic animals were 43 persons (44,8%) and urban residents were 53 persons (55,2%).

Cyst diameter ranged from 45 mm to 170 mm, and their capacity from 135 cub cm to 510 cub cm. Totally in 96 patients were found 136 mass lesions. In 80 (83,3%) patients was a single liver cyst, and in 16 (16,7%) patients - two or more cysts.

Midline laparotomy performed to 35 (36,4%) patients, laparotomy access in the right hypochondrium - 39 (40,7%), thoracal-phrenic laparotomy - 22 (22,9%).

Residual cavity by capitonazh way eliminated in 47 (49%) cases. Omentoplasty used in 8 (8,3%) cases.The residual cavity was drained by vacuum drainage in 36 (37,6%) cases.

Comparison of immediate and late results depending on way of residual cavity elimination showed significant efficacy of drainaging cavity by active suction drainage, which has reduced the duration of hospital stay and reduce postoperative complications.

Keywords: surgery of hepatic echinococcosis, hydatid echinococcus of liver, elimination of the residual cavity.

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