Modern approaches to treatment of echinococcal diseases

Abstract

Purpose. To evaluate the results of treatment of echinococcal liver disease, to determine the most effective method of echinococcectomy and its role in the prevention of of the disease recurrence. Material and methods. The analysis of 1072 cases (1358 cysts) of echinococcal liver disease was carried out. Radical (closed) echinococcectomy with the use of high-tech resection devices was performed in 258 patients, including the use of ultrasonic dissectors and aspirators in 105 patients (main group), other resection devices (LigaSure, argon plasmic scalpel) — in 153 patients (comparison group). Results.Length of hospital stay in the main group was 9.4 ± 2.1 bed-days, in the comparison group — 11.6 ± 1.7. Postoperative complications in the main group were recorded in 4.6% of cases, in the comparison group — in 11.0% respectively. Recurrence of the disease in the comparison group was noted in 2.3% of cases, in the main group there was no secondary echinococcusinduced liver injury. The quality of life of patients in the main group was 73.5 ± 1.8 points, in the comparison group — 72.8 ± 1.7 points. There were no deaths among patients who underwent echinococcectomy with the use of resection technologies.Conclusion. The most effective way of echinococcal liver disease treatment is radical echinococcectomy: cystpericystectomy, liver resection. Ultrasound resection technologies are the most optimal for radical surgical interventions, they reduce intraand postoperative complications and improve the immediate and long-term results echinococcal liver disease treatment .