CONSERVATIVE SURGICAL MANAGEMENT IN COMBINED LUNG AND LIVER ECHINOCOCCOSIS
Vol. 4 No. 10 (2024): Евразийский журнал медицинских и естественных наук 189-197
Abstract
Work includes the results of surgical treatment of 112 patients with combined echinococcosis of the lungs and liver. The clinical material was divided into three groups: 36 (32.14%) patients in the first group (control) were operated through separate wide incisions. 34 (94.44%) patients were operated in staGES with an interval of 4-6 weeks, and in 2 (5.56%) patients, echinococcectomy from the lung and liver was performed simultaneously through separate sections; In 29 (25.89%) patients cysts were removed from the right lung and liver through a thoracophrenolaparotomy section at the same time; In the third group, 47 (41.97%) patients underwent staged removal of cysts from the lungs and liver. In 35 (74.47%) cases, echinococcectomy was performed using a video assistant through mini-incisions developed by us, in 12 (25.53%) cases, mini-incisions were performed simultaneously in 7 patients through a separate mini-incision, 5 patients cysts were removed from the lungs and liver step by step with an interval of four weeks. The use of video-assisted operations helped to reduce early complications by two times.
Keywords:
References
Axmedov I.G. Analiz otdalennыx rezultatov xirurgicheskogo lecheniya exinokokkoza: metodologicheskie aspektы. Annalы xirurgicheskoy gepatologii. 2016; 21 (4): 113–118.
Benyan A.S., Ivanov S.A., Medvedchikov-Ardiya M.A., Panfilov K.A., Kenarskaya M.V. Simultannoe lechenie exinokokkoza legkogo i pecheni. // Vestnik meditsinskogo instituta REAVIZ №1(37), 2019; S 149-154.
Vetshev P.S., Musaev G.X., Fatyanova A.S. Exinokokkoz: osnovi diagnostiki i rol miniinvazivnыx texnologiy (obzor literaturы). Annalы xirurgicheskoy gepatologii. 2015; 20 (3): 47–53.
Nazыrov F.G. [i dr.] // Ximioterapiya i problemы residivnogo exinokokkoza pecheni Annalы xirurgicheskoy gepatologii . - 2011. T.16, № 4.- S.19 - 24.
Chernousov A. F., Musaev G. X., Abarshavina M. V. Sovremennыe metodы xirurgicheskogo lecheniya sochetannogo exinokokkoza lyogkix i pecheni // Xirurgiya. 2012. № 7. S. 12–17.
Shevchenko Yu. L., Nazыrov F. G. Xirurgiya exinokokkoza. M. : Dinastiya, 2016. 288 s.
Eshmuratov T.Sh., Sundetov M.M., Shirtaev B.K. Usovershenstvovanie lechebnoy taktiki sochetannogo exinokokkoza pravogo lyogkogo i pecheni. Vestnik xirurgii Kazaxstana. 2015; 2: 35-38.
Fattahi Masoom S.H., Lari S.M., Fattahi A.S., Ahmadnia N., Rajabi M., Naderi Kalat M. Albendazole therapy in human lung and liver hydatid cysts: a 13-year experience. Clin. Respir. J. 2018; 12 (3): 1076–1083.
Nazligul Y., Kucukazman M., Akbulut S. Role of chemotherapeutic agents in the management of cystic echinococcosis // Int. Surg. 2015. Vol. 100, № 1. P. 112–114.
Tamarozzi, F., Nicoletti, G.J., Neumayr, A., Brunetti, E.(2014). Acceptance of standardized ultrasound classification, use of albendazole, and long-term follow-up in clinical management of cystic echinococcosis: a systematic review. Current opinion in infectious diseases, 27(5), 425–31. Epub 2014/08/08, pmid:25101556.
Downloads
Published
Issue
Section
How to Cite
