STAGED METHOD OF SURGICAL TREATMENT OF LIVER ECHINOCOCCOSIS

The purpose of the study is to present and evaluate the results of treatment of patients with parasitic liver damage using a modern diagnostic algorithm, various methods and stages of surgical treatment.

Material and methods. The results of treatment of 81 patients (34 men (42%), 47 women (58%)) who underwent 104 surgical interventions for liver echinococcosis in the surgical department No. from 2015 to 2021. The difference in the number of operations performed and actual patients is explained by the use of a staged method of surgical treatment in some cases.

Results. Of the total number of operated patients, one-stage surgical interventions were applied in 64 (79%) cases. In 17 (21%) patients, various staged methods of surgical treatment were applied, which made it possible to exclude some of them from the category of "non-resectable" and perform surgical treatment with good results. An unsatisfactory result of treatment with a fatal outcome was noted in one case from the total array of patients.

Conclusion. The use of a modern diagnostic algorithm, various surgical techniques, including staged minimally invasive and laparoscopic ones, makes it possible to achieve good treatment results in a specialized surgical center.

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