MODERN COMPREHENSIVE DIAGNOSTICS AND SURGICAL TREATMENT OF COMPLICATED FORMS OF LIVER ECHINOCOCCOSIS

Abstract

The OBJECTIVE of the study is to evaluate the approaches of surgical treatment of complicated forms of liver echinococcosis. MATERIAL AND METHODS. During the period from 2010 to 2016, surgical treatment of liver echinococcosis was performed in 202 patients, 161 patients of them (79.7 %) had primary echinococcosis, and 41 patients (20.3 %) had recurrent echinococcosis. The work is based on the retrospective analysis of the results of preoperative examination, intraoperative ultrasound examination and treatment of 46 (22.8 %) patients with complicated echinococcosis – with isolated liver damage or in combination with other localizations. 8 patients had concomitant complications. RESULTS. Cyst suppuration is the most common among the complicated forms of liver echinococcosis. CONCLUSION. Complicated liver echinococcosis should be operated in the specialized institution with modern diagnostic and treatment equipment and highly qualified specialists.

Keywords

• complicated echinococcosis
• surgical treatment
• devastation measure