Комплексное хирургическое лечение эхинококкоза печени

Аннотация

Materials and methods. The study is based on the experience of surgical treatment of 427 patients with liver echinococcosis of various localization , operated in the II summit of the clinic from 2003 to 2015. In 2003-2006 . we operated 154 (36.1 %) patients. These patients were in the control group. The comparison group included 134 (31.4 %) patients operated in 2007-2010. The study group included 139 (32.5 %) patients operated in 2011-2015. Results. Compared with the years 2003-2006 . the frequency of postoperative complications decreased almost 5 times - from 18.4 % to 4.0 %. Relapses echinococcosis late after surgery occurred in 12.9 % of pa-tients and in the group operated in 2003-2006, this figure reached 28.2 %. In subsequent years, against the backdrop of intra- and postoperative prevention of recurrence of the disease in the control group was reduced to 8.8 %, and in the main group reduced to zero. Conclusions: Among the most vivid and germicides skoleksotsidnoe quick impact provides 80-100 % glycerol, heated to 70°C, which causes destructive changes in the adjacent parenchyma. The surgery of the liver echinococcosis preference should be given the topical minimal access , the possibility of which can be greatly enhanced by conducting intraoperative ultrasound and videoendoscopy assisting. Reduction of trau-ma intervention , the conservation of the affected organ anatomical integrity , reduce the frequency of iatro-genic contribute to the proposed method of suturing the residual liver cavities.