AN IMPROVED METHOD FOR TREATING THE RESIDUAL CAVITY DURING ECHINOCOCCECTOMY FROM THE LIVER WITH AN ELASTIC FIBROUS CAPSULE
Keywords:
echinococcosis of the liver; residual cavity; an elastic fibrous capsule; laparoscopic echinococcectomy; HemobenAbstract
One of the urgent issues in the surgery of echinococcosis of the liver remains the option of treatment of the residual cavity, implying both antiparasitic efficacy and the possibility of accelerating the processes of obliteration of the fibrous capsule. To assess the effectiveness of the proposed method, 2 groups were formed. There were 104 patients in the main group and 117 in the comparison group. In patients with echinococcosis of the liver, the presence of an elastic fibrous capsule allows for open operations in 74.5-78.7% (for both groups) to perform complete suturing of the residual cavity (54.3-69.3%) or drainage (9.3-20.2%), in 12-12.8% of patients it is possible to perform abdominization of the residual cavity and only in 9.3-In 12.8% of cases, due to the difficult localization of the cyst (more often deeply intraparenchymatous), the operation is limited to drainage of the residual cavity with a minimum volume of pericystectomy.
References
Babadjanov A.K., Yakubov F.R., Ruzmatov P.Y., Sapaev D.S. Epidemiological aspects of echinococcosis of the liver and other organs in the Republic of Uzbekistan. Parasite Epidemiol Control. 2021 Nov 24;15:e00230. doi: 10.1016/j.parepi.2021.e00230. PMID: 35005264; PMCID: PMC8716672.
Sapaev DS, Yakubov FR, Yakhshiboev SS. Evaluation of the factors influencing the choice of laparoscopic echinococcectomy in liver echinococcosis (LE) and its impact on postoperative outcomes. Exp Parasitol. 2023 May 1;248:108495. doi:10.1016/j.exppara.2023.108495
Sapaev D.S., Yakubov F.R., and Yakhshiboev S.S. 2023. Comparative results of surgical treatment of primary echinococcosis of the liver. European Journal of Medical Genetics and Clinical Biology 1 (2):36-45. https://e-science.net/index.php/JMGCB/article/view/223.
M.M. Akbarov, R.Yu. Ruzibaev, D.Sh. Sapaev, P. Yu. Ruzmatov, F.R. Yakubov. (2020). Modern Trends in the Prevention of Liver Echinococcosis. Indian Journal of Forensic Medicine & Toxicology, 14(4), 7433–7437.DOI: https://doi.org/10.37506/ijfmt.v14i4.12823
Рузибаев Р.Ю., Курьязов Б.Н., Сапаев Д.Ш., Якубов Ф.Р., РузматовП.Ю., & Бабаджанов А.Р. (2019). Современная оценка проблем диагностики и хирургического лечения эхинококкоза. Вестник Национального медико-хирургического Центра им. Н. И. Пирогова, 14 (1), 134-139. https://doi.org/10.25881/BPNMSC.2019.66.50.024
Сапаев Д.Ш., Рузибаев Р.Ю., Курьязов Б.Н. Пятилетний опыт современных операций в лечении эхинококкоза печени // Профилактическая и клиническая медицина. –2017. –No4 (65). –С. 74–78.
