Simultaneous Operations for Liver Echinococcosis

Abstract

Objective. To evaluate the results and effectiveness of simultaneous operations for echinococcosis of the liver. Methods. Surgical diseases requiring surgical treatment (cholelithiasis: calculus cholecystitis, choledocholithiasis, nodular goiter, ventral postoperative hernia) were detected in 38 patients with echinococcosis of the liver. 23 patients underwent organ-preserving operations for echinococcosis, and 15 patients underwent radical operations, all operations were perfomed in combined with cholecystectomy, choledocholitotomy, thyroidectomy, and herniotomy (coating of a polypropylenemesh for hernia gate).Immediate and remote results were studied. Patients were reexamined 6 months after surgery within a 3-year period. The examination included the checkup, general blood test, liver and kidney tests, an ultrasound examination of the abdominal organs, and a chest x-ray once a year. Results. During theimmediate postoperative period 4 patients out of 38 (10.5%) had complications. After simultaneous operations using organ-preserving methods of echinococcectomy, 2 patients out of 23 (8.7%) had complications (pleuritis, wound suppuration), and 2 - out of 15 had radical operations (bile leakage, pleuritis). All complications had been cured by the time of discharge. The remote results were studied over a period of 6 months to 3 years. 34 patients were examined up to 1 year, 31 - from 1 to 2 years, 26 - from 2 to 3 years. Within the examination and follow-up periods no recurrence of echinoccosis was observed. Conclusion. During simultaneous operations and the echinococcectomy of the liver it is necessary to observe accurately the rules of aparasiticity and antiparasiticity.Simultaneous operations for the liver echinococcosis should be performed according to strict indications and by a highlyexperiencedandqualified surgeon. Patients who have undergone simultaneous operations was asked toundergoa medicalcontrol examination at least once a year. What this paper adds The possibility of performing simultaneous operations for echinococcosis of the liver has been defined. The sequence of operations for echinococcosis in combination with other pathologies requiring surgical treatment has been justified.

Efficacy of One-Stage and Two-Stage Extensive Surgical Resections in Liver Echinococcosis

“…Радикальное оперативное лечение паразитарного поражения печени значимо уменьшает процент рецидива заболевания [8,9]. При распространенном поражении печени обширная резекция является наиболее подходящим техническим решением и позволяет получить отличные результаты, улучшая качество жизни.…”

Application of Combined Laser Irradiation in Postoperative Period in Patients with Complicated Hepatic Echinococcosis

“…In the last decade, there has been an increasein the incidence of echinococcosis and an expansion of the geographical boundaries of the disease. The current trend is caused by a number of factors, which primarily include increased population migration, deterioration of the sanitary and epidemiological situation, primarily in regions that are endemic for echinococcosis [5].…”

“…At the same time, there are difficulties in diagnosis, as well as disagreements when choosing the method of surgical treatment and elimination of the residual cavity of an echinococcal cyst. The most frequent are chronic complications: suppuration of the parasitic cyst -18.4-49%, calcification of the fibrous capsule-4.8-18.1% , and deadmaternal echinococcal cyst in the stage of early postmortem changes-5.6-9.9% [5]. The frequency of acute complications of echinococcosis, such as breakthrough in the abdominal cavity, varies from 2.7 to 13.6%, breakthrough in the pleural cavity-up to 9.6%, breakthrough in the biliary tract with the development of mechanical jaundice and cholangitis -from 1-6 to 63% [5].…”