Efficiency of minimally invasive surgery for liver echinococcosis and its complications
https://doi.org/10.16931/1995-5464.2021184-91
Abstract
Aim. Improving outcomes of diagnosis and treatment of patients with liver echinococcosis and its complications. Materials and methods. A comparative analysis of the results of surgical treatment of liver echinococcosis and its complications with traditional laparotomy access surgery (control group) and minimally invasive interventions (main group) was performed.
Results. The study included 300 patients (170 in the control and 130 in the main group). In the main group, 37 (28.4%) cases performed open echinococcectomy from various mini-accesses, and 27 (20.7%) performed twostage operations using minimally invasive technology. Laparoscopic echinococcectomy was performed in 23 (17.7%) patients, laparoscopic pericystectomy 12 (9.2%) and laparoscopic liver resection in 10 (7.7%) patients. The frequency of postoperative complications in the main group was 17.7%, in the control 51.8%, postoperative mortality decreased from 2.3% to 0.8%.
Conclusion. Minimally invasive technologies in the surgical treatment of liver echinococcosis show the better immediate results compared to traditional open surgical methods.
About the Authors
Z. A. Azizzoda
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Zubaydullo A. Azizzoda – Cand. of Sci. (Med.), Doctoral Candidate of the Department of Surgical Diseases No.1
139, Rudaki Ave., Dushanbe, 734003
K. M. Kurbonov
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Karimkhon M. Kurbonov – Doct. of Sci. (Med.), Professor, Academician of the Academy of Medical Sciences of the Republic of Tajikistan, Professor of the Department of Surgical Diseases No.1
139, Rudaki Ave., Dushanbe, 734003
K. R. Ruziboyzoda
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Kakhramon R. Ruziboyzoda – Cand. of Sci. (Med.), Assistant of the Department of Surgical Diseases No.1
139, Rudaki Ave., Dushanbe, 734003
S. G. Ali-Zade
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
Sukhrob G. Ali-Zade – Cand. of Sci. (Med.), Associate Professor of the Department of Surgical Diseases No.1
139, Rudaki Ave., Dushanbe, 734003
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Azizzoda Z.A., Kurbonov K.M., Ruziboyzoda K.R., Ali-Zade S.G. Efficiency of minimally invasive surgery for liver echinococcosis and its complications. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2021;26(1):84-91. (In Russ.) https://doi.org/10.16931/1995-5464.2021184-91
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