MODERN ASPECTS OF DIAGNOSTICS AND SURGICAL TREATMENT OF HEPATIC ECHINOCOCCOSIS

Abstract

The review presents data on modern methods of diagnosis and surgical treatment of hepatic echinococcosis (HE). Focused attention, on such aspects of HE as frequency, structure, diagnostics, indications for the surgical treatment of hepatic cysts, ways of processing the residual cavity, intra-operative diagnosis of bile fistulas, use of special tools and prevention of recurrence of the disease. It should be noted that the frequency of postoperative complications and relapses of HE remains high. All methods of operations performed at HE have both advantages and disadvantages. So far, there are no proven advantages of access in literature for HE, depending on the specifics of the localization of the cyst. Besides, effective surgical treatment is hampered by a number of under-explored questions regarding the nature and scope of surgery, the way of processing cyst walls, the need for drainage or a method of eliminating the residual cavity, prevention, and treatment of internal bile fistulas.

Keywords

• hepatic echinococcosis
• laparoscopy
• mini-access
• traditional access
• surgical treatment.