Liver Echinococcosis: Improving of Surgical Tactics

The aim of the study was to improve the treatment results of patients with liver echinococcosis by developing a differentiated approach to surgical treatment and improving tactical and technical aspects of treatment. Material and methods. The present work is based on the examination and treatment analysis results of 359 patients with various forms of liver echinococcosis. All patients were divided into two groups: control - 243 (68%) patients who were admitted between 2013 and 2016 and the main one - 116 (32%) patients who were hospitalized in 2017-2019. Results. The proposed set of therapeutic measures for liver echinococcosis provides a differentiated approach to the choice of a surgical team depending on the severity of the surgical intervention, increases the efficiency of intraoperative treatment of the residual cavity, improves the technical aspects of surgical intervention and reduces the frequency of postoperative complications from 18.9% to 10.3%, postoperative mortality - from 1.2% to 0%.