New classification of alveolar echinococcosis of the liver as a base of new surgical strategy. A multicenter study

Загайнов, В. Е.; Поршенников, И. А.; Kiselev, N.; Найденов, Е. В.; Pavlík, Vladimír; Восканян, С. Э.

doi:10.16931/1995-5464.2020420-32

Cited by 6 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…описаны подходы к его оперативному лечению в зависимости от стадии развития, распространения, осложнений и рецидива заболевания [4,15]. Очень важным, особенно при наличии осложнений, является применение многоэтапной реализации цели хирургического лечения, позволяющей при индивидуальном подходе добиться наилучших результатов с минимизацией рисков возникновения послеоперационных осложнений и летальных исходов.…”

Section: оригинальные исследованияunclassified

“…Альвеококкоз относится к редким паразитарным заболеваниям, классификация и варианты оперативных вмешательств при котором могут быть разными, в зависимости от локализации, размеров и распространения «паразитарной опухоли» в паренхиме печени и за ее пределами [1][2][3][4][5][6]. Большое значение при выборе того или иного способа оперативного лечения альвеококкоза печени придается наличию различных осложнений заболевания.…”

Section: Introductionunclassified

See 1 more Smart Citation

Alveolar Disease of the Liver: Classification and Surgical Interventions

Пантелеев

Нартайлаков

Salimgareev

2022

Kreativnaâ hirurgiâ i onkologiâ

View full text Add to dashboard Cite

Introduction. There are several classifications of alveolar disease of the liver, but they do not provide complete information regarding all possible surgical interventions in terms of this pathology. Our study was aimed at identifying and structuring various approaches to staged surgical treatment of the disease, taking into account the current possibilities of minimally invasive surgery.Materials and methods. After carrying out a retrospective analysis of surgical treatment of 72 patients with alveolar disease of liver, we have developed a classification of the surgical interventions and 6 main staged approaches to surgical treatment for the disease. Results and discussion. The presented classification of surgical interventions for alveolar disease of the liver is entirely sufficient to divide all surgeries into the following groups: radical/ relatively-radical surgical interventions that make the patient free or nearly free of the disease, and palliative/diagnostic surgeries, that focus on alleviation of the patient’s condition. In addition, the volume and radicality of the liver resection as well as the drainage of the bile ducts and liver decay cavities can be clarified. Based on the developed classification of surgical interventions, we presented 6 main staged, case-centered approaches to the surgical treatment for liver alveolar disease and its complications.Conclusion. The presented classification of surgical interventions for alveolar disease of the liver is a way to explicitly divide the surgeries according to several criteria. Surgical treatment for alveolar disease of the liver includes various parts, which made it possible to develop 6 main options for a staged approach to surgical interventions, ensuring scientific and practical applications.

show abstract

Section: оригинальные исследованияunclassified

Section: Introductionunclassified