CONSERVATIVE SURGICAL MANAGEMENT IN COMBINED LUNG AND LIVER ECHINOCOCCOSIS
Keywords:
Liver echinococcosis, lung echinococcosis, laparoscopic echinococcectomy, minilaparotomy echinococcectomy, laparotomic echinococcectomy.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.
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