OPTIMIZATION OF METHODS FOR THE PREVENTION OF RESIDUAL CAVITY AFTER ECHINOCOCCECTOMY

Abstract

Human echinococcosis remains a serious parasitic disease, with an increasing incidence in many countries worldwide, including the Kyrgyz Republic. Patients often present in the late stages of the disease with large cysts and complications. There are numerous surgical treatment methods for liver echinococcosis. Most researchers classify surgeries for echinococcosis as organ- preserving and radical. Radical surgeries are complex, more traumatic, performed in specialized clinics, and require highly qualified surgeons. Therefore, organ-preserving surgeries for liver echinococcosis are most commonly used. Despite advances in the surgical treatment of liver echinococcosis, organ-preserving surgeries remain the most common. This article presents the results of surgical treatment of complicated and uncomplicated forms of echinococcosis, depending on the methods used to eliminate the fibrous capsule cavity during surgery. Organ-preserving surgeries are defined as all surgeries that completely or partially preserve the fibrous capsule. We used this technique in 156 (65.5%) of 238 patients with primary liver echinococcosis. Eighty-two (34.5%) were operated on using our improved methods. The incidence of various complications (residual cavity, bile leakage, bleeding) after liver echinococcectomy is presented, both after traditional methods of fibrous capsule cavity elimination and after our improved organ-preserving surgeries. In patients who underwent cavity elimination using our developed and improved methods, postoperative complications were minimal compared to those after traditional organ-preserving surgeries and significantly differed.