“Complex” hepatic echinococcosis

Aim. To study the long-term results of surgical treatment in patients with “complex” hepatic echinococcosis. Materials and methods. The 118 echinococcosis from 2015 to 2020 at A.V. Vishnevsky National Medical Research Center Surgery were analyzed. term has been proposed. A comparative analysis number type complications interferences 2 groups was carried out: 66 echinococcosis, 52 complex Results. During observation period, no any recurrence recorded. 55 (44%) had Isolated liver damage found 74% cases, combined lung 20% cases other organs – 6%. In most pericystectomy performed (82%), 8% underwent atypical hepatectomy, 4% segmental resection, 3% laparoscopic intervention, hemihepatectomy. Postoperative recorded 22 (18,6%) cases. Accumulations bile biliary fistulas formed 45% pneumotothorax or hydrothorax 23%, wound abscess 18%, hematomas hepatectomy zone 14% Conclusion. Surgical requires an individual approach choice operation option. Preference should be given parenchyma-preserving radical operations. When lobe is totally replaced a hydatid cyst case cystobiliary hemihepatectomy performed, it acceptable leave fibrous capsule on large tubular structures.