Сurrent status of the surgical treatment of liver echinococcosis

Шабунин, А. В.; Лебедев, С. С.; Kovalenko, Yu. A.; Карпов, А. А.

doi:10.16931/1995-5464.2021-4-87-96

Cited by 4 publications

(1 citation statement)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Эхинококковая киста -это пузырь, заполненный жидкостью, которая представляет собой транссудат сыворотки крови и обладает защитными (антигенными) свойствами. Стенка паразитарной кисты состоит из двух оболочек: наружной хитиновой (кутикулярной) и внутренней зародышевой (герминативной) [5]. Кутикулярная оболочка выполняет функцию полупроницаемой мембраны, которая обеспечивает доступ к паразиту питательных веществ и в то же время предохраняет клетки внутренней оболочки от воздействия белков и микрофлоры хозяина.…”

unclassified

Experience in the Treatment of Liver Echinococcosis

Shyla,

Mogilevets,

Belyuk

et al. 2023

Hepatol Gastroenterol

View full text Add to dashboard Cite

Background. Liver echinococcosis is a parasitic liver disease caused by Echinococcus granulosus. The choice of surgical strategy for this pathology remains challenging. Objective. To analyze the received surgical outcomes in patients with liver echinococcosis. Material and methods. From 2012 to 2022, 27 patients with liver echinococcosis were treated in “Grodno University Clinic”. All patients underwent an extensive diagnostic evaluation that included a complex of laboratory and instrumental diagnostic methods as well as surgery. Results. All the patients underwent resections, including laparoscopic ones (25.9%). No post-operative complications and fatal outcomes were recorded. Conclusions. Patients with liver echinococcosis should be referred to specialized regional or republican hospitals. It is necessary that patients should undergo CT of the abdominal and chest cavities as well of the brain in search for additional foci. Preference should be given to minimally invasive surgical techniques. Negative serology test to echinococcosis does not rule out the presence of a parasite-induced lesions in a patient. The technique of total vascular isolation during surgery is preferable for resection of liver cysts with invasive growth into nearby large vessels.

show abstract

unclassified

Experience in the Treatment of Liver Echinococcosis

Shyla,

Mogilevets,

Belyuk

et al. 2023

Hepatol Gastroenterol

View full text Add to dashboard Cite

show abstract

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

Krasnov¹,

Анищенко

Pachgin³

et al. 2023

Ulyanovsk Medico-biological Journal

View full text Add to dashboard Cite

Surgery is the main effective way to treat liver echinococcosis. The problem of choosing a surgical technique for treating liver echinococcosis under impaired liver functional reserve and development of post- hepatectomy liver failure remains relevant. The aim of the study is to analyze the effectiveness of extensive surgical resections while treating patients with liver echinococcosis. Materials and Methods. The article presents the results of surgical treatment of 85 patients with liver echinococcosis from 2006 to 2022. All patient underwent extensive liver resection: 61 patients (71.8 %) were operated on according to one-stage extensive surgical resection protocol; 24 patients (28.2 %) were operated on according to two-stage extensive surgical resection protocol. Results. The applied surgical step-by-step methods for prevention of post-resection liver failure were effective in 24 patients (100 %), Group 2. Three deaths (3.5 %) were recorded in the total mass of the trial patients. Progressive post-resection liver failure was the cause of deaths. After the introduction of a new examination protocol into clinical practice, the authors observed no deaths after extensive surgery resections because of the development of post-resection liver failure. Moreover, no relapses were observed after extensive surgery resections. Conclusion. Extensive surgical resections in patients with liver echinococcosis are effective and sufficiently safe when performed in specialized hepatological centers using an in-depth preoperative protocol. Two-stage surgical resections can be recommended in case of initial significant deficit in the volume of the future liver remnant and functional organ reserves.

show abstract

Qaraci̇yəri̇n Hi̇dati̇doz Exi̇nokokkozunun Müali̇cəsi̇ndə Radi̇kal Cərrahi̇ Müdaxi̇lələri̇n Tətbi̇qi̇

Баширов,

Касыев,

Мусаев

et al. 2022

Azerbaijan Medical Journal

View full text Add to dashboard Cite

В статье представлены результаты исследования, проведенного с целью представить результаты эффективности радикальных методов оперативного лечения при гидатидозном эхинококкозе печени и определить к ним показания. С данной целью исследовано результаты лечения 204 пациентов, которым выполнено радикальное хирургическое вмешательство. Анализ результатов радикальных методов лечения гидатидозного эхинококкоза печени показало благоприятные результаты как в ближайшем, так в отдаленном послеоперационном периоде. Məqalədə qaraciyərin hidatidoz exinokokkozu olan xəstələrdə radikal cərrahi müalicə üsullarının effektivliyini və onlara olan göstərişləri araşdırmaq məqsədilə aparılmış tədqiqat işi haqqında məlumat verilmişdir. Bu məqsədlə radikal cərrahi müdaxilə aparılmış 204 pasiyentin müalicəsinin nəticələri tədqiq edilmişdir. Qaraciyərin hidatidoz exinokokkozunun radikal müalicə üsullarının tətbiqindən əldə edilmiş təcrübə operasiyadan sonrakı yaxın və uzaq nəticələrin qənaətbəxş olduğunu göstərmişdir. The article presents the results of the effectiveness of radical methods of surgical treatment for hydatidosis echinococcosis of the liver and determines the indications for them. For this purpose, the treatment results of 204 patients who underwent radical surgery were studied. Analysis of the results of radical methods of treatment of hydatid echinococcosis of the liver showed positive results both in the immediate and late postoperative period. Açar sözlər: exinokokkektomiya, perisistektomiya, ideal exinokokkektomiya, qaraciyərin rezeksiyası

show abstract

Сurrent status of the surgical treatment of liver echinococcosis

Cited by 4 publications

References 32 publications

Experience in the Treatment of Liver Echinococcosis

Experience in the Treatment of Liver Echinococcosis

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

Qaraci̇yəri̇n Hi̇dati̇doz Exi̇nokokkozunun Müali̇cəsi̇ndə Radi̇kal Cərrahi̇ Müdaxi̇lələri̇n Tətbi̇qi̇

Contact Info

Product

Resources

About