Выбор оптимальной хирургической тактики при эхинококкозе печени

Аннотация

269 patients have been operated on for echinococcosis. 165 patients of the main group were subdivided into three groups: in the first group of 23 patients there was performed laporoscopic echinococcectomy, in the second one of -78 patients –minilaparotomy , in the third one of 64 (38. 79%) patients - laparotomy.The methods of performed operations were the following: cystextirpation (pericystectomy) (7.88%), closed echinococcectomy (42,42%) half - closed echinococcectomy (15,15%), open echinococcectomy (13.33%) omentofilling according to Askerhanov (21.21 %). In numerous cysts in 34 patients there were used 2-3 one- moment methods during operations. The main stage of our tactics is presented by laparoscopic revision.