Сryosurgery for Liver Alveococcosis
https://doi.org/10.16931/1995-5464.2017411-17
Abstract
Aim. To determine the indications for cryotherapy and to evaluate its effectiveness in surgery for liver alveococcosis.
Material and Methods. 169 patients with liver alveococcosis were enrolled. Morphological study of liver specimens was carried out before and after cryotherapy to assess cold exposure on parasitic tissue.
Results. We have developed original devices which are protected by patents. They were used for radical (9) and palliative (25) liver resections, liver stump management after resection (43), marsupialization of the cavity with partially uninhabited parasitic tissue (62), cryodestruction of parasitic nodes and decay cavities (20), including in case of mechanical jaundice (14).
It is proved that cold exposure (−196 °C) leads to death of the germinal elements of the parasite, stops bleeding from vessels with diameter ≤ 1 mm and causes necrosis and sequestration of the parasitic nodes.
Conclusion. The use of cryoinstruments in liver resections for alveococcosis is aimed at preventing of recurrent disease and reduction of parenchymatous bleeding. Cryodestruction of parasitic nodes contributes to increase of life expectancy in inoperable patients.
About the Authors
N. V. Merzlikin
Siberian State Medical University of Healthcare Ministry of Russia
Russian Federation
Russian Federation
Merzlikin Nikolay Vasilyevich – Doct. of Med. Sci., Professor, Head of the Department of Surgical Diseases with the Course of Traumatology and Orthopedics of the SSMU.
2, Moskovskiy trakt, Tomsk, 634050, Russian Federation
B. I. Alperovich
Siberian State Medical University of Healthcare Ministry of Russia
Russian Federation
Russian Federation
Alperovich Boris Ilyich – Doct. of Med. Sci., Professor of the Department of Surgical Diseases with the Course of Traumatology and Orthopedics of the SSMU.
2, Moskovskiy trakt, Tomsk, 634050, Russian FederationV. F. Tskhai
Siberian State Medical University of Healthcare Ministry of Russia
Russian Federation
Russian Federation
Tskhay Valentina Fyodorovna – Doct. of Med. Sci., Professor of the Department of Surgical Diseases with the Course of Traumatology and Orthopedics of the SSMU.
2, Moskovskiy trakt, Tomsk, 634050, Russian FederationN. A. Brazhnikova
Siberian State Medical University of Healthcare Ministry of Russia
Russian Federation
Russian Federation
Brazhnikova Nadezhda Arkhipovna – Doct. of Med. Sci., Professor of the Department of Surgical Diseases with the Course of Traumatology and Orthopedics of the SSMU.
2, Moskovskiy trakt, Tomsk, 634050, Russian FederationV. N. Salo
Siberian State Medical University of Healthcare Ministry of Russia
Russian Federation
Russian Federation
Salo Vadim Nikolaevich – Doct. of Med. Sci., Professor of the Department of Surgical Diseases with the Course of Traumatology and Orthopedics of the SSMU.
2, Moskovskiy trakt, Tomsk, 634050, Russian FederationI. S. Zaytsev
Alperovich City Clinical Hospital №3
Russian Federation
Russian Federation
Zaytsev Ivan Sergeevich – Cand. of Med. Sci., Resident at the Surgical Department of Alperovich City Clinical Hospital №3.
3, Nakhimova str., Tomsk, 634045, Russian Federation
T. A. Noroeva
Siberian State Medical University of Healthcare Ministry of Russia
Russian Federation
Russian Federation
Noroeva Tuyana Alekseevna – Student of the 5th Course of Pediatric Faculty of the SSMU.
2, Moskovskiy trakt, Tomsk, 634050, Russian FederationА. S. Emelyanov
Siberian State Medical University of Healthcare Ministry of Russia
Russian Federation
Russian Federation
Emelyanov Aleksey Sergeevich – Intern of the Department of Surgical Diseases with the Course of Traumatology and Orthopedics of the SSMU.
2, Moskovskiy trakt, Tomsk, 634050, Russian FederationP. S. Bushlanov
Siberian State Medical University of Healthcare Ministry of Russia
Russian Federation
Russian Federation
Bushlanov Pavel Sergeevich – Postgraduate Student of the Department of Surgical Disease with the Course of Traumatology and Orthopedics, SSMU, Russian Healthcare Ministry.
2, Moskovskiy trakt, Tomsk, 634050, Russian FederationReferences
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Review
For citations:
Merzlikin N.V., Alperovich B.I., Tskhai V.F., Brazhnikova N.A., Salo V.N., Zaytsev I.S., Noroeva T.A., Emelyanov А.S., Bushlanov P.S. Сryosurgery for Liver Alveococcosis. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2017;22(4):11-17. (In Russ.) https://doi.org/10.16931/1995-5464.2017411-17
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