Surgical treatment of liver echinococcosis

Abstract

This article is based on the treatment results of primary and recurrent epidural infection among 1230 patients treated at three medical institutions: Khorezm Regional Multidisciplinary Medical Center, Clinic of Andijan State Medical Institute, Republican Specialized Scientific and Practical Medical Center for Surgery, between 2015–2020. The comparison group included 621 patients (from 2015 to 2017) who underwent a retrospective analysis. In comparison, the main group of the study included 609 patients (from 2018 to 2020). In the main group of patients, traditional echinococcectomy (EE) was performed in 80.1% of cases, LapEE in 12.3%, and PAIR and PEVAC techniques in 7.6%. The overall incidence of complications from the residual cavity in the comparison group was 36.4% after the PAIR technique, 39.1% after the PEVAC technique, 21.7% after LapEE, and 6.9% (37 out of 503) after traditional and resection EE. The proposed algorithm for selecting a method for treating exocrine pancreatic insufficiency (EPI) made it feasible to optimize tactical approaches to perform traditional and minimally invasive interventions, which ensured a decrease in the incidence of complications from the residual cavity and, accordingly, the need for repeated minimally invasive and open interventions and conservative therapy.

Comparative Results of Surgical Treatment of Primary Echinococcosis of the Liver

“…The largest number of publications and the majority of dissertation studies on the surgical treatment of liver echinococcosis (LE) address the problem of treatment of residual cavities. Despite the large number of methods of antiparasitic treatment of the cyst cavity, the frequency of complications and relapses remains almost at the same level [2,5,8,10].Improving the tactical and technical aspects of laparoscopic echinococcectomy surgical treatment made it possible to decrease the incidence of complications from residual cavity (RC) from 9.7% to 4.4% [12]. The lack of unity of views regarding the option of eliminating RC gives rise to the emergence of new and new methods of its treatment.…”

“…Improving the tactical and technical aspects of laparoscopic echinococcectomy surgical treatment made it possible to decrease the incidence of complications from residual cavity (RC) from 9.7% to 4.4% [12]. The lack of unity of views regarding the option of eliminating RC gives rise to the emergence of new and new methods of its treatment.…”