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Khirurgii

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Year 2011 Vol. 19 No 5

EXCHANGE OF EXPERIENCE

F.I. MAKHMADOV, K.M. KURBONOV, K.R. KHOLOV, S.T. NAZIPOV

POSSIBILITIES OF ENDOSCOPIC TECHNOLOGIES APPLICATION IN DIAGNOSTICS AND TREATMENT OF THE LIVER ECHINOCOCCOSIS

Objectives. To improve the quality of diagnostics and treatment of the liver echinococcosis by using endoscopic technologies.
Methods. Video laparoscopic interventions were carried out in 69 (27, 9%) patients at the age of 16 up to 66 with the liver echinococcosis. They are presented in three types of technologies: laparoscopic hydatidectomy (17 patients), endovideoscopy of the residual cavity at traditional liver hydatidectomy (49 patients), transfistula endovideoscopy of the residual cavity (3 patients). In 3 cases of the complicated echinococcosis, percutaneous puncture under ultrasound control was done. Comparison of the results of different types of the operative treatment was done on the basis of analysis of the number of postoperative complications cases, duration of patients hospitalization and the recurrences number.
Results. It was found out that endoscdopic interventions application permits to evaluate the qualitative parameters of the hydatid cyst as well as to optimize the treatment tactics. Evaluation of the nearest and distant results showed that endovideosurgical interventions permit to decrease the number of complications, to reduce the terms of hospitalization and to accelerate their rehabilitation.
Conclusions. Endoscopic technology application in the form of video laparoscopy, diagnostics and treatment endovideoscopy of the residual cavity in the intra- and postoperative periods allows improving the diagnostics quality and treatment results of patients with the liver echinococcosis.

Keywords: liver echinococcosis, surgical treatment, laparoscopic hydatidectomy, videoendoscopy of the residual cavity, transfistula videoendoscopy
p. 147 - 150 of the original issue
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