WAYS TO IMPROVE THE RESULTS OF SURGICAL TREATMENT OF HEPATIC ECHINOCOCCOSIS COMPLICATED BY CIRRHOSIS
DOI:
https://doi.org/10.54890/.v4i4.1054Abstract
The aim of the study was to optimize diagnostic monitoring, preoperative preparation, and choice of surgical treatment tactics for patients with hepatic echinococcosis and cirrhosis, which developed as a result. The report is based on the results of the treatment of 578 patients operated in the clinic. The diagnosis of liver cirrhosis before the operation was established in 14 cases, and intraoperatively in 8 cases. Noncommercial fibrin glue was used to stop the bleeding. A suspension of mononuclear cells prepared from the recipient's blood was used to activate the reparative processes and to prevent postoperative complications, which improved the treatment results. Liver cirrhosis is not a contraindication to echinococectomy. Diagnostic monitoring should include the full arsenal of available tools. Minimized surgical tactics and intensive postoperative treatment allows to achieve good results and reduce postoperative mortality.
Keywords:
echinococcosis, liver cirrhosis, surgical treatment.References
1. Амонов Ш.Ш., Рахмонов Д.А., Файзиев З.Ш., Бокиев Ф.Б., Туракулов Ф.А., Сангов Д.С. Современные аспекты диагностики и хирургического лечения эхинококкоза печени. Вестник Авиценны, 2019;21(3);480-88. https://doi.org/10.25005/2074-0581-2019-21-3-480-488
2. Otakuziev AZ, Nishonov FN, Abdulhaeva BKh, Mamarasulov MK. Significance of morphofunctional liver indicators in dissiminated liver echinococcosis and abdominal organs Central Asian Journal of Medicine. 2019; 2; 4
3. Niu F, Chong Sh, Qin M, Li Sh, Wei R, ZhaoMechanism of fibrosis induced by echinococcusspp. Diseases. 2019;7(3):51https://doi.org/10.3390/diseases7030051
4. Faico-Filho KS, Ferreira DB, Medeiros EASpontaneous bacterial peritonitis secondary cirrhosis of the liver due to echinococcosis Annals of clinical case reports. 2021; 6:1-2
5. Краснов А.О., Анищенко В.В., Пачгин И.В., Краснов К.А., Пельц В.А., Краснов О.А. и др. Роль оценки степени риска в резекционной хирургии эхинококкоза печени. Вестник Волгоградского государственного медицинского университета. 2022;19(2):85-91. https://doi.org/10.19163/1994-9480-2022-19-2-85-91
6. Khachatryan AS. Analysis of lethality in echinococcal disease. Korean Journal of Parasitology. 2017; 55(5):549-553. https://doi.org/10.3347/kjp.2017.55.5.549
7. Yakubov FR, Sapaev DS. Surgical treatment of liver echinococcosis. Journal of Medicine and Life. 2022;15(11); 1409-1414. https://doi.org/10.25122/jml-2022-0268
8. Мирасова Г.Х., Салимгареева И.З., Логинов М.О., Грицаенко А.И., Нартайлаков М.А. Методы профилактики печеночной недостаточности после обширных резекций печени. Креативная хирургия и онкология. 2021;11(1):10-14. https://doi.org/10.24060/2076-3093-2021-11-1-10-14
9. Одишелашвили Г.Д., Пахнов Д.В., Одишелашвили Н.Г. Эхинококкоз поджелудочной железы: клинический случай. Астраханский медицинский журнал. 2021; 16(1);98-102. https://doi.org/10.17021/2021.16.1.98.102
10. Panteleev V, Nartaylakov M, Mustafin A, Abdeyev R, Salimgareyev I, Samorodov A et al. Surgical treatment of liver echinococcosis and alveococcosis. Infez Med. 2019; 27(4); 422-428.
11. Найтарлаков М.А., Ибадильдин А.С., Пантелеев В.С., Салимгареев И.З., Галимов И.И., Мухамеджанов Г.К. и др. Профилактика и лечение постоперационных осложнений при эхинококкозе и альвеококкозе печени. Вестник Хирургии Казахстана. 2017;1(50): 27-30.
12. Шевченко Ю.Л., Назыров Ф.Г., Акбаров М.М., Сайдазимов Е.М., Сирожитдинов К.К. Современные аспекты хирургии осложненного эхинококкоза печени, Вестник Национального медико-хирургического Центра им. Н.И.Пирогова, 2018; 13(4); 29-34