Radical treatment of liver echinococcosis. State of art

purpose of this study is to evaluate the results and role of radical operations in the management of hepatic hydatid disease. 317 patients with liver hydatid cysts underwent surgical treatment. Liver resection, total and subtotal pericystectomy were possible in 215 patients (67,8%). There were 115 p...

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Main Authors: V. A. Vishnevsky, R. Z. Ikramov, M. A. Kakharov, M. G. Yefanov
Format: Article
Language:English
Published: Siberian State Medical University (Tomsk) 2007-09-01
Series:Бюллетень сибирской медицины
Subjects:
Online Access:https://bulletin.ssmu.ru/jour/article/view/3299
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author V. A. Vishnevsky
R. Z. Ikramov
M. A. Kakharov
M. G. Yefanov
author_facet V. A. Vishnevsky
R. Z. Ikramov
M. A. Kakharov
M. G. Yefanov
author_sort V. A. Vishnevsky
collection DOAJ
description purpose of this study is to evaluate the results and role of radical operations in the management of hepatic hydatid disease. 317 patients with liver hydatid cysts underwent surgical treatment. Liver resection, total and subtotal pericystectomy were possible in 215 patients (67,8%). There were 115 patients (36,3%) with complicated hepatic hydatid cysts. Residual echinococcosis was indication for operation in 17%. Among all patients 53 (16,7%) presented other anatomic sites of parasite such as lung, peritoneum, kidney, and other viscera. The postoperative complication rate was 25,7% after operations without pericystectomy, 17,6% - after radical operations and 19,8% - after combined operations. The mortality rate was 1,6%. The recurrence rate was 6,7%. Removal of cystic and pericystic tissue and liver resection are the only type of operations for safe and radical treatment of liver hydatid cysts, especially in the cases of complicated and relapsing disease.
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spelling doaj.art-ad569292a19845e9b559e48a69e104452023-03-13T09:58:07ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842007-09-0163222610.20538/1682-0363-2007-3-22-261955Radical treatment of liver echinococcosis. State of artV. A. Vishnevsky0R. Z. Ikramov1M. A. Kakharov2M. G. Yefanov3Институт хирургии им. А.В. Вишневского, г. МоскваИнститут хирургии им. А.В. Вишневского, г. МоскваИнститут хирургии им. А.В. Вишневского, г. МоскваИнститут хирургии им. А.В. Вишневского, г. Москваpurpose of this study is to evaluate the results and role of radical operations in the management of hepatic hydatid disease. 317 patients with liver hydatid cysts underwent surgical treatment. Liver resection, total and subtotal pericystectomy were possible in 215 patients (67,8%). There were 115 patients (36,3%) with complicated hepatic hydatid cysts. Residual echinococcosis was indication for operation in 17%. Among all patients 53 (16,7%) presented other anatomic sites of parasite such as lung, peritoneum, kidney, and other viscera. The postoperative complication rate was 25,7% after operations without pericystectomy, 17,6% - after radical operations and 19,8% - after combined operations. The mortality rate was 1,6%. The recurrence rate was 6,7%. Removal of cystic and pericystic tissue and liver resection are the only type of operations for safe and radical treatment of liver hydatid cysts, especially in the cases of complicated and relapsing disease.https://bulletin.ssmu.ru/jour/article/view/3299печеньэхинококкозхирургическое лечение
spellingShingle V. A. Vishnevsky
R. Z. Ikramov
M. A. Kakharov
M. G. Yefanov
Radical treatment of liver echinococcosis. State of art
Бюллетень сибирской медицины
печень
эхинококкоз
хирургическое лечение
title Radical treatment of liver echinococcosis. State of art
title_full Radical treatment of liver echinococcosis. State of art
title_fullStr Radical treatment of liver echinococcosis. State of art
title_full_unstemmed Radical treatment of liver echinococcosis. State of art
title_short Radical treatment of liver echinococcosis. State of art
title_sort radical treatment of liver echinococcosis state of art
topic печень
эхинококкоз
хирургическое лечение
url https://bulletin.ssmu.ru/jour/article/view/3299
work_keys_str_mv AT vavishnevsky radicaltreatmentofliverechinococcosisstateofart
AT rzikramov radicaltreatmentofliverechinococcosisstateofart
AT makakharov radicaltreatmentofliverechinococcosisstateofart
AT mgyefanov radicaltreatmentofliverechinococcosisstateofart