RECURENT ERCHINOCOCCOSIS OF THE LIVER
DOI:
https://doi.org/10.54890/1694-8882-2025-3-99Abstract
This article presents the incidence of recurrent liver echinococcosis based on data from Bishkek City Clinical Hospital No. 1, diagnostic features, differential diagnosis from residual cavities after echinococcectomy of nonparasitic liver cysts, and the results of surgical treatment of its various forms. In recent years, there has been an increase in primary echinococcosis in the Kyrgyz Republic, along with a growing number of patients with recurrent echinococcosis, the diagnosis and treatment of which presents certain difficulties compared to primary echinococcosis. Existing immunological methods are uninformative due to sensitization after primary echinococcosis. The results of using various scolexicidal drugs to destroy fruiting elements of echinococcal cysts are studied. The effectiveness of using a 0.2% Decasan solution for the prevention of echinococcosis recurrence has been proven. The primary treatment for recurrent echinococcosis is surgery combined with antiparasitic medications. Videolaparoscopic surgical techniques used for primary echinococcosis are not possible in cases of recurrent echinococcosis due to adhesions after the initial surgery. However, a minimally invasive method, ultrasound-guided cyst puncture with drainage and active aspiration, is available. A 0.2% Decasan solution is injected into the cyst cavity to destroy the fertilizing elements of thе echinococcosis.
Keywords:
echinococcosis, recurrent echinococcosis, prevention, diagnosticsReferences
1. Аслонова Г.И., Рузикулова Н.А. Клинические проявления гельминтозов. International scientific online conference France: Scientific Approach to the Modern Education System. 2024:3(25):139-141.
2. Журавлев В.А., Черемисинов О.В. Традиционное, новое и спорное в хирургии эхинококкоза печени. Анналы хирургической гепатологии. 2005;10(2):109. [Zhuravlev V.A., Cheremisinov O.V. Traditional, new and controversial in the surgery of liver echinococcosis. Annals of Surgical Hepatology. 2005;10(2):109. (In Russ.)].
3. Аталиев А.Е., Тешаев О.Р., Шукуров А.А. Пункционное и пункционно-дренажное лечение эхинококковых кист печени. Актуальные проблемы гепатопанкреатобилиарной хирургии. Ташкент; 2015:110-111. [Ataliyev A.E., Teshaev O.R., Shukurov A.A. Puncture and puncture-drainage treatment of echinococcal cysts of the liver. Actual problems of hepatopancreatobiliary surgery. Tashkent; 2015:110-111. (In Russ.)].
4. Павлюк Г.В., Бужор П.В., Морару В. Эхинококкоз печени – перицистэктомия или эхинококкэктомия. Актуальные проблемы гепатопанкреатобилиарной хирургии. Минск; 2016:305-306. [Pavlyuk GV, Buzhor PV, Moraru V. Echinococcosis of the liver - pericystectomy or echinococcectomy. Actual problems of hepatopancreatobiliary surgery. Minsk; 2016:305-306 (In Russ.)].
5. Abdelraouf A, Boraii S, Elgohary H, Mogahed M., Elkholy A., Hamdy H. Evaluation of packing the residual cavity after total or partial cyst resection in management of hepatic hydatid cystic disease. J Egypt Soc Parasitol. 2016;46(2):453–460.
6. Borham MM. Comparison between omentoplasty and partial cystectomy and drainage (PCD) techenques in surgical management of hydatid cysts liver in endemic area (Yemen). J Egypt Soc Parasitol. 2014;44(1):145–50. PMID: 24961020
7. Мусаев Г.Х., Фатьянова А.С., Левкин В.В. Принципы и современные тенденции лечения эхинококкоза печени. Хирургия. Журнал им. Н.И. Пирогова. 2017;(12):90–4. [Musaev G.K., Fatyanova A.S., Levkin V.V. Principles and modern trends in liver echinococcosis treatment. Khirurgiia. 2017;(12):90–4. (In Russ.)]. https://doi.org/10.17116/hirurgia20171290-94
8. Пантелеев В.С. Анализ ранних и отдаленных результатов различных вариантов ликвидации остаточной полости печени после эхинококкэктомии. Креативная хирургия и онкология. 2018;8(3):203-207. [Panteleyev V.S. Analysis of Early and Distant Results of Various Options for Eliminating the Residual Liver Cavity Following Echinococcectomy. Creative surgery and oncology. 2018;8(3):203-207. (In Russ.)]. https://doi.org/10.24060/2076-3093-2018-8-3-203-207
9. Байсариев Ш.У., Мутазаев З.И. Возможности видеолапароскопии при эхинококкозе печени. Research focus international scientific journal. 2024;3(5):224-30. [Baisariev Sh.U., Mutazaev Z.I. Possibilities of videolaparoscopy for liver echinococcosis. Research focus international scientific journal. 2024;3(5):224-30. (In Russ.)]. https://doi.org/10.5281/zenodo.11397154
10. Manterola C, Otzen T, Munoz G, Alanis M, Kruuse E, Figueroa G. Surgery for hepatic hidatidosis. Risk factors and variables associated with postoperative morbidity. Overview of the existing evidence. Cir Esp. 2017;95(10):566–76. https://doi.org/10.1016/j.ciresp.2017.08.009
11. Borhani M, Bazargan N, Eslami S. Cystic echinococcosis in children, Addressing Research Needs, Filling knowleg Gaps. International Journal of Echinococcoses. 2022;1:49-53.
12. Мусаев А.И., Баширов Р.М., Алиев М.Ж. Способ профилактики рецидива эхинококкоза печени. Патент на изобретение № 1692 от 31.04.2014. [Musaev A.I., Bashirov R.M., Aliev M.Zh. A method for preventing recurrence of liver echinococcosis. Patent for invention No. 1692 dated April 31, 2014. (In Russ.)].
13. Мусаев А.И., Баширов Р.М. Способ ликвидации полости фиброзной капсулы эхинококкоза печени. Патент на изобретение №845 от 30.12.2005. [Musaev A.I., Bashirov R.M. Method for eliminating the fibrous capsule cavity in liver echinococcosis. Patent for invention No. 845 dated April 30, 2005. (In Russ.)].
14. Касыев Н.Б., Баширов Р.М., Способ ликвидации полости фиброзной капсулы эхинококкоза печени. Патент на изобретение № 2382 от 29.03.2024. [Kasiev N.B. Bashirov R.M. Method for eliminating the fibrous capsule cavity in liver echinococcosis. Patent for invention No. 2382 dated March 29, 2024. (In Russ.)].
15. Алиев М.Ж., Калыбеков Т.А., Баширов Р.М., Ниязов Б.С. Интраоперационные меры профилактики рецидива эхинококкоза печени. Вестник КГМА им. И.К. Ахунбаева. 2021;4:43-47.
Downloads
Published
How to Cite
Issue
Section
