General Surgery
doi: 10.25005/2074-0581-2020-22-3-448-454
RESULTS OF THE USE OF MINIMALLY INVASIVE TECHNOLOGIES IN THE SURGICAL TREATMENT OF HEPATIC ECHINOCOCCOSIS AND ITS COMPLICATIONS
1Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Department of Hepatopancreatobiliary Surgery, Loginov Moscow Clinical Scientific Center, Moscow, Russian Federation
Objective: To evaluate the results of using minimally invasive technologies in the surgical treatment of hepatic echinococcosis (HE) and its complications.
Methods: The results of examination and surgical treatment of 165 patients with HE and its complications using minimally invasive technologies are presented.
Results: 77 patients with uncomplicated HE underwent: open echinococcectomy (EE) from various mini-accesses (n=37), laparoscopic EE (n=30), PAIR technology (n=6), hepatic resection using the da Vinci S robotic complex (n=4). In patients with suppurated hydatid cysts (n=49) a combination of percutaneous cyst puncture with laparoscopic (4) and open (5) EE; PAIR technology (5) and laparoscopic EE (35) were performed. All 39 patients with intrabiliary rupture of hydatid cysts underwent two-stage interventions: percutaneous transhepatic choledochostomy followed by laparoscopic (7) and traditional (4) EE; endoscopic papillosphincterotomy (EPST) followed by open EE (9); laparoscopic choledochostomy followed by open EE (3); EPST followed by laparoscopic total (2) and subtotal (14) pericystectomy. Postoperative complications were noted in 29 (17.5%), relapses of the disease – in 12 (10.9%), lethal outcome – in 1 (0.6%) cases. Based on the analysis of the study, an algorithm for choosing the method of surgical treatment for HE and its complications was developed.
Conclusion: The use of minimally invasive technology for hepatic echinococcosis can improve surgical treatment outcomes.
Keywords: Hepatic echinococcosis, diagnosis , minimally invasive technologies, surgical treatment, treatment results.
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Author information:
Azizzoda Zubaydullo Abdullo
Candidate of Medical Sciences, Doctoral PhD Candidate, Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-5127-7355
SPIN: 8131-6832
Author ID: 623089
E-mail: azizov-med76@mail.ru
Efanov Mikhail Germanovich
Doctor of Medical Sciences, Head of the Department of Hepatopancreatobiliary Surgery, Loginov Moscow Clinical Scientific Center
ORCID ID: 0000-0003-0738-7642
SPIN: 2249-6620
Author ID: 703434
E-mail: m.efanov@mknc.ru
Ruziboyzoda Kakhramon Ruziboy
Candidate of Medical Sciences, Assistant of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-8381-0364
SPIN: 7343-3380
Author ID: 1005844
E-mail: dr.hero85@mail.ru
Information about support in the form of grants, equipment, medications
The authors did not receive financial support from manufacturers of medicines and medical equipment
Conflicts of interest: No conflict
Address for correspondence:
Azizzoda Zubaydullo Abdullo
Candidate of Medical Sciences, Doctoral PhD Candidate, Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139
Tel.: +992 (987) 217177
E-mail: azizov-med76@mail.ru
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