SIMULTANEOUS OPERATIONS FOR LIVER ECHINOCOCCOSIS

Objective. To evaluate the results and effectiveness of simultaneous operations for echinococcosis liver. Methods. Surgical diseases requiring surgical treatment (cholelithiasis: calculus cholecystitis, choledocholithiasis, nodular goiter, ventral postoperative hernia) were detected in 38 patients with 23 underwent organ-preserving echinococcosis, 15 radical operations, all perfomed combined cholecystectomy, choledocholitotomy, thyroidectomy, herniotomy (coating a polypropylenemesh hernia gate).Immediate remote studied. Patients reexamined 6 months after surgery within 3-year period. The examination included checkup, general blood test, liver kidney tests, an ultrasound abdominal organs, chest x-ray once year. Results. During theimmediate period 4 out (10.5%) had complications. After using methods echinococcectomy, 2 (8.7%) complications (pleuritis, wound suppuration), - (bile leakage, pleuritis). All been cured by time discharge. studied over to 3 years. 34 examined up 1 year, 31 from years, 26 Within follow-up periods no recurrence echinoccosis was observed. Conclusion. echinococcectomy it is necessary observe accurately rules aparasiticity antiparasiticity.Simultaneous should be performed according strict indications highlyexperiencedandqualified surgeon. who have undergone asked toundergoa medicalcontrol at least What this paper adds possibility performing has defined. sequence combination other pathologies justified.