Detailed Abstract
[E-poster - Liver (Liver Disease/Surgery)]
[EP 081] MINIMALLY INVASIVE TREATMENT OF LIVER ECHINOCOCCOSIS, SUBDIAPHRAGMAL LOCALIZATION
Farukh MAHMADZODA 1, Faridun SAFAROV 2, Faridun AZIMOV 1
1 Department of Surgical Diseases №1, Avicenna Tajik State Medical University, TAJIKISTAN, 2 Department of Surgical Diseases №1, State Institution "Institute of Gastroenterology of the Republic of Tajikistan", TAJIKISTAN
Background : Improving the results of surgical treatment of liver echinococcosis, subphrenic localization.
Methods : A study of 64 patients with liver echinococcosis localized in the diaphragmatic surface of the VIII segment of the liver was analyzed, where 21 (32.8%) underwent puncture-drainage interventions under ultrasound control. There were 29 men (45.3%), women - 35 (54.7%). Suppuration of hydatid cysts (HC) was noted in 33.3% of patients.
Results : Drainage was necessarily performed through 3-4 cm of healthy liver parenchyma, which ensures tightness and prevents the leakage of echinococcal fluid into the free abdominal cavity. In the postoperative period, the average follow-up for the volume of the residual cavity was 21.8±6.7 months. (median 69%); range, 3-24.7 months). Cyst volumes that were calculated in recent months ranged from 0.00 to 47.00 ml with an average of 21.11 ml. Among all patients, cysts decreased in volume by 76.2%. The average reduction in cyst volume at follow-up is 71.4%. The mean duration of catheterization among the 14 (66.7%) patients with uncomplicated EP was 18.1 days (mean, 3.93 days; range, 1–21 days). When the duration of catheterization in a group of patients with suppuration of a hydatid cyst (n=7) was 33.1 days. The average hospital stay for all patients was 2.3 days (range 1-5 days). The average length of hospitalization was 1.5 days for patients with an uncomplicated form receiving PAIR, 1.7 days for patients with suppurative HC.
Conclusions : One of the most effective methods of surgical treatment of liver echinococcosis, subdiaphragmatic localization, is minimally invasive interventions under ultrasound control.
Methods : A study of 64 patients with liver echinococcosis localized in the diaphragmatic surface of the VIII segment of the liver was analyzed, where 21 (32.8%) underwent puncture-drainage interventions under ultrasound control. There were 29 men (45.3%), women - 35 (54.7%). Suppuration of hydatid cysts (HC) was noted in 33.3% of patients.
Results : Drainage was necessarily performed through 3-4 cm of healthy liver parenchyma, which ensures tightness and prevents the leakage of echinococcal fluid into the free abdominal cavity. In the postoperative period, the average follow-up for the volume of the residual cavity was 21.8±6.7 months. (median 69%); range, 3-24.7 months). Cyst volumes that were calculated in recent months ranged from 0.00 to 47.00 ml with an average of 21.11 ml. Among all patients, cysts decreased in volume by 76.2%. The average reduction in cyst volume at follow-up is 71.4%. The mean duration of catheterization among the 14 (66.7%) patients with uncomplicated EP was 18.1 days (mean, 3.93 days; range, 1–21 days). When the duration of catheterization in a group of patients with suppuration of a hydatid cyst (n=7) was 33.1 days. The average hospital stay for all patients was 2.3 days (range 1-5 days). The average length of hospitalization was 1.5 days for patients with an uncomplicated form receiving PAIR, 1.7 days for patients with suppurative HC.
Conclusions : One of the most effective methods of surgical treatment of liver echinococcosis, subdiaphragmatic localization, is minimally invasive interventions under ultrasound control.
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E-poster
E-Session 03/21 ALL DAY