Comparative evaluation of computer assisted surgery of cystectomy of children’s liver

Abstract

Objective: a comparative evaluation of the results of the nearest postoperative period assisted surgery and the traditional methods of treatment of hepatic echinococcosis in children.Methods. Based on the results of treatment of 92 children with hepatic echinococcosis, treated in the clinic of pediatric surgery in West Kazakhstan medical University named after Marat Ospanov in the period from 2014 to 2017. In the surgical treatment of hydatid cysts of the liver methods of endovideosurgery was used in 63 children (the main group) and open cystectomy liver in 29 children (comparison group).The dynamics of the patients with echinococcosis of the liver in the immediate postoperative period after endovideosurgical and open cystectomy were evaluated by the following criteria: the terms of relief of pain syndrome (was used a numerical rating scale of pain assessment), the timing of normalization of body temperature and peripheral blood, timing of restoration of function of the gastrointestinal tract, the length of stay of patients in the intensive care unit, timing of recovery of motor activity, timing of removal of drains from the abdominal cavity, the length of hospital stay.Results. The dynamics of the patients in the nearest postoperative period after cystectomy assisted surgery of the liver showed that in earlier periods was the relief of pain, normalization of body temperature, peripheral blood, restoration of the gastrointestinal tract, decreased length of stay in the intensive care unit, recovery of motor activity, at an earlier date removed drainage of the abdominal cavity, decreased time of inpatient treatment. Recurrence of the disease was not Conclusion: Comparative evaluation of computer assisted surgery is cystectomy in conjunction with lymphotropic therapy with an open echinococcectomy showed less invasiveness of endovideosurgical technology, high efficiency and ability to perform echinococcectomy of the front not only localization, but also posterior-diaphragmatic. Carried out lymphotropic therapy contributes to a softer postoperative period.Keywords: hydatid cyst of the liver -endovideosurgical echinococcectomy -postoperative period.