СОВРЕМЕННЫЕ ЛАПАРОСКОПИЧЕСКИЕ И РОБОТИЧЕСКИЕ ТЕХНОЛОГИИ В ЛЕЧЕНИИ ЭХИНОКОККОЗА ПЕЧЕНИ

Background. The steady development of modern minimally invasive technologies makes it possible to use laparoscopic and robotic methods of treatment for liver echinococcosis. Material and methods: Since 2018, in the surgical clinic of the Botkin Hospital, laparoscopic and robotic interventions in the volume of pericystectomy and liver resection have been used for liver echinococcosis. During the period from February 2018 to November 2020, 8 minimally invasive interventions were performed: 5 laparoscopic and 3 robotic. The study assessed postoperative complications according to the Clavien–Dindo classification, specific complications according to ISGLS, and relapses during the first year after surgery. Results. Comparing immediate and long-term results, no differences were found in the duration of the operation, the frequency of transfusion of blood components, the incidence of severe postoperative complications (class III and more according to Clavien–Dindo), the presence of specific complications according to the ISGLS classification. Minimally invasive operations were accompanied by statistically significantly less blood loss compared to open ones: 54 (0–270) ml and 157 (70–560) ml (p <0.001), respectively, as well as shorter inpatient treatment: 4 (1–6) and 12 (7–35) days (p <0.001). Conclusion. Thus, laparoscopic and robotic technologies are gradually finding their place in the attraction of hydatide liver lesions. These modifications of traditional surgical procedures reduce the number and severity of postoperative complications and improve treatment results.